Job Description
Put your pharmacy expertise to work beyond the counter in a role focused on claims resolution, prior authorizations, and medication access. Join a collaborative team where your knowledge directly improves the patient experience.
Pharmacy Tech - Patient Service Representative
LOCATION
The Colony, TX (across from Nebraska Furniture Mart) | 100% Onsite
COMPENSATION & SCHEDULE
• $22.00 - $23.00 per hour (Based on experience and certifications)
• Monday – Friday | 10a - 7p CST | Rotating weekend coverage required ( Training hours 9:30a - 6:30p CST)
• W2 Employment | Temp to Hire
ROLE IMPACT
The Patient Service Rep supports medication access by resolving pharmacy claims, benefit verification, eligibility, and prior authorization inquiries. This role works with pharmacies, healthcare providers, and patients to resolve coverage issues accurately and efficiently while maintaining HIPAA and healthcare regulatory compliance. Success is measured by claims accuracy, documentation quality, customer service, productivity, and compliance.
KEY RESPONSIBILITIES
• Support inbound inquiries related to pharmacy claims, pharmacy benefits, eligibility, and prior authorizations.
• Research and resolve pharmacy claim rejections, third-party billing issues, coverage discrepancies, formulary requirements, and plan details.
• Accurately document customer interactions and case activity within internal systems.
• Support customers through phone, email, and chat while meeting quality and productivity expectations.
• Escalate clinical questions and complex issues to licensed pharmacists or appropriate support teams while maintaining HIPAA compliance.
LICENSES & CERTIFICATIONS
• Active Pharmacy Technician License
* Certification through PTCB or NHA required within 6 months of conversion*
• High School Diploma or GED.
• Minimum 2 years of pharmacy technician experience in retail pharmacy, hospital pharmacy, mail order pharmacy, specialty pharmacy, Pharmacy Benefit Management (PBM), or healthcare operations.
CLINICAL SKILL SET
• Pharmacy claims processing and claims resolution
• Benefit verification and eligibility
• Prior authorization support
• Pharmacy claims adjudication
• Third-party billing
• Formulary and pharmacy benefit coverage
• HIPAA-compliant documentation
PREFERRED SKILLS
• Experience with prior authorizations, pharmacy claims processing, PBM, managed care, specialty pharmacy, or healthcare call center operations.
• Familiarity with pharmacy claims adjudication systems and third-party billing.
• Strong attention to detail, documentation, customer service, communication, and ability to manage multiple priorities.
EQUIPMENT & WORK ENVIRONMENT
• Prolonged computer use with keyboard, mouse, headset, and multi-line phone system.
• Primarily sedentary position with occasional standing, walking, reaching, and bending.
• Fast-paced healthcare support environment with productivity, quality, and compliance expectations.
LEGAL NOTICE
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at:
Job DescriptionDewberry is seeking a Traffic Engineering Group Lead/Senior Project Manager to join our North Carolina Transportation Team in our Raleigh, NC office... ...about this role, but your past experience doesnt align perfectly with every qualification in the position...
Starbucks is hiring Baristas to craft handcrafted beverages, connect with customers, and create a welcoming third-place environment. Youll take orders, prepare high-quality drinks and food items, follow recipes and safety standards, and handle cash and POS transactions...
...Traffic Engineering LeaderHNTB is seeking a dynamic and entrepreneurial traffic engineering leader who is eager to help build a growing... ..., and real-time operational strategies.In this role, you'll manage projects through their full lifecycle, from shaping proposals and...
...take IMLC. EMR: Epic and paper Delta Locum Tenens can assist with travel arrangements and credentialing, and will cover malpractice... ...tenens staffing division of The Delta Companies, identifies physicians and advanced practice providers on behalf of healthcare...
...Position Title: Steel Model Checker Location: Saint Cloud, MN Salary Interval: Hourly Pay Range: N/A Application Instructions... ..., and other critical requirements that affect fabrication, fit-up, installation, and project quality. # Review Against Contract...