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.

Why You'll Love Working Here

• Opportunity to play a critical role in delivering high-quality pharmacy services and positive patient experiences.
• Collaborative team environment focused on accuracy, efficiency, and continuous improvement.
• Exposure to pharmacy operations, claims adjudication, insurance processes, and healthcare services.
• Ability to make a meaningful impact by helping patients access their medications and resolve prescription-related issues.
• Hybrid work flexibility within a patient-focused healthcare organization.
• Opportunities for professional development and career growth within the pharmacy and healthcare industry.

Essential Duties / Responsibilities

Prescription Processing & Data Entry

• 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.

Patient, Provider & Insurance Communication

• 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.

Claims Resolution & Operational Support

• 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.

Compliance & Team Collaboration

• 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.

Required Skills / Abilities

Customer Service & Communication

• 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.

Problem Solving & Analytical Skills

• 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.

Organization & Productivity

• 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.

Teamwork & Professionalism

• 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.

Tools & Systems

• Proficiency with Microsoft Office Suite, including Outlook, Word, and Excel.
• Experience utilizing pharmacy management systems and industry-related software applications.
• Familiarity with claims adjudication processes and pharmacy billing systems preferred.
• Ability to accurately manage electronic documentation and pharmacy records.

Education / Experience

• 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.
• Experience or knowledge of pharmacy claims adjudication processes preferred.
• Experience or knowledge of secondary billing practices, including prescription discount cards and Medicaid, preferred.
• Proficiency with Microsoft Office Suite and pharmacy-related software applications.

Preferred Skills / Abilities

• 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.

Work Environment

• Hybrid home/office environment with minimal exposure to excessive noise or adverse working conditions.
• May require occasional local and/or overnight travel, including travel by automobile or air transportation.
• Ability to sit or stand for extended periods of time.
• Ability to lift and carry objects weighing up to 15 pounds.
• Ability to work flexible schedules, including extended hours, weekends, and holidays, as required to support departmental and business needs.

Equal Opportunity Employer

BirdiRx is an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable law.

Pre-Employment Requirements

As a condition of employment, BirdiRx requires the successful completion of all applicable pre-employment screenings, including background checks and other employment verification requirements as permitted by law. All employment decisions are made in accordance with applicable federal, state, and local regulations.