Phil
Pharmacy Technician - Prescription Routing & Claims Support
Phil, Scottsdale, Arizona, us, 85261
Company Overview:Founded in 2015, Phil is a San Francisco-based, Series D health-tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact. Through our end-to-end B2B2C platform, we enable affordable, timely, and efficient access to therapies, enhancing patient adherence and improving health outcomes. Our work empowers pharma manufacturers to innovate while delivering best-in-class care experiences across the healthcare ecosystem. Our mission-driven team is made up of diverse individuals passionate about technology, healthcare, and patient wellbeing. If you're eager to help transform a legacy industry through smart systems and human-centered solutions, we want to hear from you.Position Overview: Title: Pharmacy Technician Location: Scottsdale, AZ (in-office; remote eligible after 90 days) Hours: Monday - Friday, 6:00 am - 7:00 pm MST (flexibility for early and late shifts required) Compensation: $20-$24/hour (commensurate with experience) Status: Full-time Reports To: Operations/Pharmacy Team LeadsPhil is seeking a detail-oriented, self-motivated Pharmacy Technician to join our growing team. You will play a key role in supporting the full prescription lifecycle; including insurance verification, troubleshooting prescription reroutes, and communicating directly with partners and prescribers. This role requires strong decision-making, communication, and multitasking abilities to ensure efficient order resolution and best-in-class patient care.Primary Responsibilities:Troubleshooting electronic, faxed, and verbal prescriptions via routing to appropriate channels into pharmacy systemsReview and update patient insurance using payer portals and phone resourcesDetermining appropriate situations for a prior authorization (PAs) need via payer-specific tools; troubleshoot denials and escalationsUtilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfersNavigate operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectivelyFollow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and moreProactively document process notes with clear routing details, claim updates, and actions takenCommunicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentationCollaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusalsMaintain productivity in the Reroute queue even during extended call hold times (e.g., multitask during insurance calls)Ensure all patient, prescriber, and partner communications are clear, professional, and aligned with Phil's standards of careAbout You:You thrive in a fast-paced, evolving startup environment and remain composed under pressureYou're passionate about helping patients access necessary medicationsYou are tech-savvy, comfortable toggling between multiple software systems and navigating insurance workflowsYou're a strong communicator, able to write succinct internal notes and speak clearly with external stakeholdersYou're self-driven but collaborative; you seek clarity, ask smart questions, and take initiativeYou take pride in accuracy and process adherence, especially when rerouting orders or resolving insurance mismatchesQualificationsArizona or Ohio Pharmacy Technician License (required)PTCB certification (preferred)Minimum 1 year of pharmacy technician experience, preferably in a Specialty, Mail Order, PBM (with Manufacturer and Insurance troubleshooting experience) or Retail setting.Working Knowledge ofInsurance claim rejections (e.g., Reject 50/40, DUR codes, etc.)Prior authorizations, override codes, and split billing scenariosICD-10 codes and drug classificationsFSA/HSA card restrictions and processing nuancesMedicaid/Medicare ExperienceRouting tools and reroute resolution logicAbility to work efficiently and with attention to detail, especially when handling complex re-routesStrong written documentation and case management skillsWhy Join PhilGround-floor opportunity in one of the fastest-growing health-tech startupsHelp modernize prescription access for real-world impactCompetitive compensation and full benefits (medical, dental, vision, etc.)401(k)Hybrid work model after 90 days (in-office collaboration & remote flexibility)Collaborative, mission-driven team culture focused on innovation and patient care