Licensed Pharmacy Tech

Birdi • Plymouth, MI

43d • Hybrid

About The Position

The Licensed Pharmacy Technician is responsible for supporting pharmacy operations through accurate prescription processing, claims resolution, and customer service activities. This role ensures prescription information is entered accurately and efficiently while maintaining quality, compliance, and performance standards. The Licensed Pharmacy Technician works closely with patients, prescribers, insurance providers, and internal teams to resolve issues, obtain necessary information, and support a seamless medication fulfillment process. This role is ideal for someone who thrives in a fast-paced environment, demonstrates strong attention to detail, and enjoys balancing technical pharmacy responsibilities with customer-focused service.

Requirements

• High School Diploma or GED required.
• Registered Pharmacy Technician license in good standing with the applicable home State Board of Pharmacy and the Michigan Board of Pharmacy.
• Certified Pharmacy Technician (CPhT) credential through the Pharmacy Technician Certification Board (PTCB) required.
• Proficiency with Microsoft Office Suite and pharmacy-related software applications.
• Strong interpersonal and customer service skills.
• Ability to communicate effectively and professionally with patients, prescribers, insurance providers, and team members.
• Ability to exercise discretion, professionalism, and diplomacy in sensitive situations.
• Ability to independently identify, research, and resolve issues.
• Strong analytical and reasoning skills with the ability to make sound decisions.
• Detail-oriented mindset with a focus on accuracy and quality.
• Ability to interpret information and apply company policies and procedures appropriately.
• Demonstrated ability to manage multiple priorities and deadlines simultaneously.
• Strong organizational skills with the ability to work independently and with minimal supervision.
• Ability to perform efficiently in a fast-paced, production-driven environment.
• Strong operational focus and commitment to meeting quality and performance standards.
• Ability to work collaboratively within a team environment.
• Commitment to maintaining confidentiality and protecting sensitive information.
• Dependable, self-directed, and adaptable to changing priorities and business needs.
• Proficiency with Microsoft Office Suite, including Outlook, Word, and Excel.
• Experience utilizing pharmacy management systems and industry-related software applications.
• Ability to accurately manage electronic documentation and pharmacy records.

Nice To Haves

• Experience or knowledge of pharmacy claims adjudication processes preferred.
• Experience or knowledge of secondary billing practices, including prescription discount cards and Medicaid, preferred.
• Prior experience within Retail Pharmacy, Mail Order Pharmacy, Specialty Pharmacy, PBM, Pharmaceutical, or Managed Healthcare environments.
• Knowledge of pharmacy operations, insurance billing processes, and medication fulfillment workflows.
• Experience supporting high-volume pharmacy or healthcare service operations.
• Familiarity with healthcare regulations, payer requirements, and industry best practices.
• Familiarity with claims adjudication processes and pharmacy billing systems preferred.

Responsibilities

• Interpret prescription orders and enter prescription information accurately and timely.
• Review prescriptions for completeness and identify missing or unclear information requiring further clarification.
• Utilize sound judgment and reasoning skills to make processing determinations based on company policies, client requirements, and regulatory guidelines.
• Maintain quality and accuracy standards while managing production goals and deadlines.
• Place outbound calls to patients, prescribers, and insurance providers to obtain clarification or additional information regarding prescription orders, when applicable.
• Communicate professionally with patients regarding prescription-related concerns, incident follow-up, and issue resolution.
• Collaborate with healthcare providers and insurance representatives to facilitate prescription processing and patient access to medications.
• Maintain a high level of customer service while handling sensitive patient information.
• Research and resolve insurance claim rejections to facilitate prescription fulfillment.
• Investigate processing issues and determine appropriate resolutions based on payer requirements and pharmacy guidelines.
• Support secondary billing processes, including prescription discount programs and Medicaid-related claims, when applicable.
• Monitor and prioritize workload to ensure timely completion of tasks and adherence to service level expectations.
• Maintain confidentiality of patient, client, and company information in accordance with company policies and applicable regulations.
• Work collaboratively with peers and cross-functional teams to support departmental objectives.
• Follow established workflows, procedures, and operational guidelines while working under general supervision.
• Participate in process improvement initiatives and contribute to operational excellence.
• Perform other duties as assigned.

Benefits

• Hybrid work flexibility within a patient-focused healthcare organization.
• Opportunities for professional development and career growth within the pharmacy and healthcare industry.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED