Job Summary

Pharmacy Technician is seeking a highly detail-oriented Virtual Pharmacy Technician – Claims Specialist to join our remote operations team. In this role, you will be responsible for handling prescription claims processing, prior authorizations, and insurance verifications with accuracy and efficiency. You will work closely with pharmacists, healthcare providers, and insurance companies to ensure timely and compliant claims management. This is an excellent opportunity for individuals who have pharmacy technician experience and are looking for a flexible, remote work environment.

Key Responsibilities

• Process and verify prescription claims through pharmacy benefit managers (PBMs) and insurance providers.

• Handle claim rejections, prior authorization requests, and appeals efficiently.

• Communicate with healthcare professionals, patients, and insurers to resolve claim-related issues.

• Review patient medication histories and maintain accurate pharmacy records.

• Ensure all transactions comply with state and federal regulations, HIPAA, and company policies.

• Support pharmacists by preparing claims documentation and coordinating with other departments.

• Identify opportunities to streamline claims processes for higher accuracy and productivity.

• Provide excellent customer service while maintaining professionalism and confidentiality at all times.

Required Skills and Qualifications

• Certified Pharmacy Technician (CPhT) or equivalent state licensure preferred.

• Strong understanding of pharmacy billing, insurance claims, and prior authorization workflows.

• Proficient in pharmacy management systems and electronic health record (EHR) software.

• Excellent written and verbal communication skills.

• Strong analytical and problem-solving abilities.

• Ability to work independently and manage multiple tasks in a fast-paced remote environment.

• High attention to detail and accuracy in data entry and claim submissions.

Experience

• Minimum 1–3 years of experience as a Pharmacy Technician, preferably in a claims, billing, or insurance verification role.

• Experience with PBM systems and knowledge of insurance plan structures is highly desirable.

Working Hours

• Full-time remote position.

• Flexible scheduling options available (Day, Evening, or Split Shifts).

• Candidates must be able to commit to at least 40 hours per week with occasional overtime during peak claim cycles.

Knowledge, Skills, and Abilities

• Comprehensive knowledge of pharmacy terminology and prescription processing.

• Familiarity with HIPAA regulations and confidentiality standards.

• Ability to analyze claim denials and determine the most effective resolution path.

• Strong organizational and multitasking skills.

• Reliable internet connection and proficiency in remote collaboration tools (Zoom, Teams, etc.).

Benefits

• Competitive salary with performance-based incentives.

• 100% remote work – work from the comfort of your home.

• Paid time off, health insurance, and retirement savings options.

• Continuous professional development and certification reimbursement.

• Supportive, inclusive, and growth-oriented work environment.

Why Join Pharmacy Technician?

At Pharmacy Technician, we are committed to excellence in patient care and innovation in pharmacy services. Joining our team means becoming part of a forward-thinking organization that values expertise, collaboration, and flexibility. As a Virtual Pharmacy Technician – Claims Specialist, you will have the opportunity to use your technical knowledge while enjoying the freedom of remote work and the satisfaction of making a real difference in patients’ lives.

How to Apply

Interested candidates should submit their resume and a brief cover letter highlighting relevant experience to us.
Please include “Virtual Pharmacy Technician – Claims Specialist” in the subject line of your email.