Experienced Remote Pharmacy Technicians for High-Volume Insurance Claims Processing and Patient Support

Transform Your Career as a Remote Pharmacy Technician with Actalent At Actalent, a global leader in engineering and sciences services and talent solutions, we're on a mission to empower visionary companies to drive innovation and scale through access to specialized experts. As a Remote Pharmacy Technician, you'll play a vital role in our client's pharmacy operations, processing insurance claims, and providing patient support. If you're driven by purpose and seeking a flexible, challenging, and rewarding career, this is the perfect opportunity for you. About the Role We're seeking highly skilled and experienced Remote Pharmacy Technicians to join our team on a full-time basis. As a Remote Pharmacy Technician, you'll work in a fast-paced, computer-based environment, utilizing your expertise to resolve insurance claims, process prescriptions, and communicate with patients and healthcare professionals. This is a 100% remote role, allowing you to work from the comfort of your own home, with the flexibility to choose your shift within a set schedule. Key Responsibilities Process prescription exceptions, including resolving claim rejects and conducting member and physician outreach Enter member demographics and prescription information into our data processing system accurately and efficiently Research and resolve rejected insurance billing issues and/or escalated member issues, providing timely and effective solutions Escalate complex prescription-related questions to pharmacists for interpretation and guidance Assist with inbound and/or outbound patient or physician calls, providing excellent customer service and support Essential Qualifications To succeed in this role, you'll need: A minimum of 2 years of experience as a Pharmacy Technician, with a strong understanding of pharmacy operations and insurance claims processing Prior experience with Prior Authorization processes and procedures Excellent customer service skills, with the ability to communicate effectively with patients, healthcare professionals, and internal stakeholders Strong computer skills, with proficiency in multiple software applications and systems The ability to work independently in a remote setting, with minimal supervision and distractions A HIPAA-compliant workspace, with a reliable internet connection and necessary equipment (provided by Actalent) Preferred Qualifications While not essential, the following qualifications will be considered a plus: Experience working in a high-volume pharmacy or insurance claims processing environment Familiarity with multiple insurance providers and their respective claims processing procedures Certification as a Pharmacy Technician (CPhT) or other relevant certifications Skills and Competencies To excel in this role, you'll need: Strong analytical and problem-solving skills, with the ability to resolve complex insurance claims and patient issues Excellent communication and interpersonal skills, with the ability to work effectively with patients, healthcare professionals, and internal stakeholders A high level of attention to detail, with accuracy and efficiency in data entry and claims processing The ability to work in a fast-paced environment, with multiple priorities and deadlines A strong understanding of HIPAA regulations and guidelines, with a commitment to maintaining patient confidentiality and data security Career Growth Opportunities and Learning Benefits At Actalent, we're committed to helping our employees grow and develop their careers. As a Remote Pharmacy Technician, you'll have access to: Ongoing training and professional development opportunities, to enhance your skills and knowledge in pharmacy operations and insurance claims processing Opportunities for career advancement, with a clear path for progression within our organization A collaborative and supportive work environment, with a team of experienced professionals who are passionate about their work Work Environment and Company Culture As a Remote Pharmacy Technician, you'll work in a flexible, autonomous environment, with the freedom to manage your own schedule and work at your own pace. At Actalent, we're committed to: Fostering a culture of diversity, equity, and inclusion, with a focus on creating a workplace that's welcoming and inclusive for all employees Providing a supportive and collaborative work environment, with opportunities for networking and professional development Recognizing and rewarding our employees for their hard work and contributions, with a range of benefits and perks Compensation, Perks, and Benefits We offer a competitive salary and benefits package, including: A comprehensive compensation package, with a competitive salary and benefits Opportunities for career advancement and professional growth, with a clear path for progression within our organization A flexible, autonomous work environment, with the freedom to manage your own schedule and work at your own pace Ongoing training and professional development opportunities, to enhance your skills and knowledge in pharmacy operations and insurance claims processing Take the Next Step If you're a motivated and experienced Pharmacy Technician looking for a challenging and rewarding career, we want to hear from you. Apply now to join our team as a Remote Pharmacy Technician and take the first step towards a brighter future. At Actalent, we're an equal opportunity employer, committed to diversity, equity, and inclusion in the workplace. We welcome applications from candidates of all backgrounds and perspectives. If you require a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] to discuss other accommodation options. Apply for this job