Certified Pharmacy Technician – Call Center Claims Adjudication

ExactCare

Pharmacy Technician working remotely to ensure patient care through phone interactions and claim adjudication tasks. Responsible for customer service and support in a fast-paced environment.

Posted 5/21/2026full-timeRemote • Ohio • 🇺🇸 United StatesSeniorLeadWebsite

About the role

Key responsibilities & impact

Providing an exceptional customer service experience each day in a phone-based environment
Answering a high volume of inbound calls from current patients and serve as an ExactCare expert to resolve their questions
Placing outbound calls to patients to create, maintain or update their medication profiles
Effectively assist with patient questions over the phone
Working through current case queues to problem solve for patient care issues
Serving as a liaison between the clinical pharmacists and other medical professionals on patients’ behalf
Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks
Collect on patient balances when patient has an amount due
Maintaining patient records with strong attention to detail and confidentiality
Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers
Accurate retrieval of all prescription information and verifying through doctor calls
Entering a high volume of data; processing prescription information with speed and accuracy
Placing welcome calls to newly onboarded patients and establish a trusted point of contact
Partner with technicians and pharmacists to ensure that new patients are successfully onboarded to ExactCare
Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base
Embodying AnewHealth’s Core Values in all communications and interactions

Requirements

What you’ll need

High school diploma / GED
Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate
Must maintain a pharmacy technician registration with State Board of Pharmacy
Must be 18+ years of age
Prior experience in a pharmacy setting
Comfortable working in a phone-based environment
Ability to work independently
Self-motivated and goal oriented
Exceptional customer service skills; servicing doctor’s office, pharmacist, and patient needs over the phone
Thorough drug knowledge
Pharmacy billing knowledge
Knowledge of appropriate processes in taking prescriptions, clarifications and transfers including clear written and verbal communication
Ability to utilize computer equipment, technology and work within multiple software programs to receive medication authorizations, clarifications and/or transfers
Strong prioritization and organizational skills
Maintain a high degree of confidentiality
Passion to help people and enrich their lives
Ability to overcome objections
Ability to think critically and document pertinent details in a world class manner that is compliant with state and federal regulations

Benefits

Comp & perks

Medical, dental and vision coverage effective 1st of the month following date of hire
Flexible spending
Company-paid life insurance and short-term disability
Voluntary benefits
401(k)
Paid Time Off
Paid holidays

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pharmacy technician certificationclaim adjudicationbilling knowledgedata entryprescription processingmedication authorizationsdrug knowledgeprior authorizationseligibility checkspatient record maintenance

Soft Skills

customer servicecommunicationproblem solvingindependenceself-motivationgoal orientationorganizational skillsprioritizationconfidentialitycritical thinking

Certifications

Pharmacy Technician Certification Board (PTCB)National Health Association (NHA) certificationpharmacy technician registration