Patient Support Pharmacy Solutions Coordinator

Phil, Inc.

Patient Support Pharmacy Solutions Coordinator for PhilRx's clinical operations, optimizing patient experiences with prescription services and collaboration with stakeholders.

Posted 5/12/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $22 - $26 per hourWebsite

Tech Stack

Tools & technologies

Swift

About the role

Key responsibilities & impact

Conduct thorough research on order and ticket history to recommend the best resolution that aligns with department guidelines.
Ensure all Service Level Agreements (SLAs) are met.
Contact relevant stakeholders to resolve issues that require cross functional collaboration that may impact a successful patient experience.
Build strong internal and external rapport, maintaining positive customer and partner relationships.
Review and respond to internal escalation requests in a timely and accurate manner.
Proactively initiate, troubleshoot, and resolve PAs and appeals via vendor portals; analyze determination trends to provide valuable insights for patient education.
Serve as the expert liaison between prescribers, insurance payers, and partner pharmacies, translating technical hurdles into actionable solutions that ensure patient access to therapy.
Partner closely with Customer Support to provide clear, jargon-free updates and documentation in our operating systems, ensuring the team has the patient-ready insights needed to support the patient’s journey.
Efficiently navigate multiple software systems and vendor portals with a self-starter mindset, maintaining the flexibility to prioritize tasks based on clinical urgency.
Investigates complex claim rejections and partners with payers and pharmacies to diagnose root causes and establish and execute a clear resolution pathway that is in accordance with regulatory requirements and manufacturer business rules.
Act as the primary technical "fixer" for orders falling outside standard workflows, resolving obstacles such as insurance exceptions, pharmacy rejections, failed transfers, and state-specific shipping regulations.

Requirements

What you’ll need

Licensed Pharmacy Technician in your state of residence
Minimum 3 years of professional pharmacy technician or prior authorization experience
Proven abilities in complex problem-solving and critical thinking.
Highly resourceful, detail-oriented, and capable of seeing complex issues through to completion.
Demonstrated adaptability to swift program and process changes.
Familiarity with Zendesk, Phil Dashboard, Phil organization structure, and processes.
Good general understanding of computers, hardware, networks, and related technology.
Minimum 3 months of tenure with Phil (Internal Candidates).
Consistent history of great attendance.
Average performance scores of 95% QA.

Benefits

Comp & perks

Overtime (OT) and holiday work may be required.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pharmacy technicianprior authorizationproblem-solvingcritical thinkingclaim investigationresolution pathwaypatient educationtechnical troubleshootingregulatory complianceinsurance processing

Soft Skills

detail-orientedadaptabilityresourcefulnesscollaborationcommunicationcustomer relationship managementtime managementflexibilityanalytical thinkinginterpersonal skills

Certifications

Licensed Pharmacy Technician