Remote Certified Pharmacy Technician - Billing Specialist (7 on/7 off, Third Shift)

Tabula Rasa Healthcare

243d • Remote

About The Position

AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. ExactCare Pharmacy is seeking a detail-oriented and reliable Billing Specialist to join our Patient Care Center of Excellence. This role is fully remote and dedicated exclusively to billing responsibilities. The ideal candidate will have experience in pharmacy claim adjudication, eligibility verification, and working with pharmacy billing systems. This position follows a 7-on/7-off rotating schedule and requires overnight availability. It offers the opportunity to work in a fast-paced, high-volume environment supporting ExactCare's nationwide patient base.

Requirements

• High school diploma or GED required.
• 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 the State Board of Pharmacy in the state they reside in.
• Prior pharmacy billing experience required.
• Must be 18 years or older.
• Ability to perform in an office-based (or remote) setting that requires sitting at a desk 90% of the time.
• Must have reliable high-speed internet and a quiet, dedicated private and distraction-free workspace for adherence to HIPAA.
• Must be able to work a 7 on/7 off schedule of, Monday through Friday, 6:30 PM - 5:00 AM ET Saturday & Sunday, 6:00 PM - 6:00 AM ET.

Nice To Haves

• Familiarity with pharmacy billing systems such as Rx30.
• Understanding of Medicare Part D, Medicaid, and commercial insurance billing.

Responsibilities

• Perform real-time and batch pharmacy claim adjudication across multiple payers.
• Conduct detailed eligibility verification checks using insurance portals or third-party tools.
• Review rejected claims and take corrective action to resolve billing errors.
• Maintain accurate, complete documentation in the pharmacy system.
• Communicate electronically via Microsoft Teams and Outlook with internal teams (pharmacists, technicians, billing) to resolve billing issues.
• Prioritize claims based on urgency and turnaround time requirements.
• Escalate systemic billing or coverage issues as appropriate.
• Work independently in a high-volume, deadline-driven environment.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Health and Personal Care Retailers
• Education Level: High school or GED