Pharm Tech Benefit & Claims Resolution

Pharm Tech

• Benefit & Claims Resolution CornerStone Staffing
• 3.8 Fresno, CA Job Details Full-time $22 an hour 1 day ago Qualifications Pharmacy Technician License High school diploma or GED Full Job Description Licensed Pharmacy Technician
• Benefit & Claims Resolution Location Fresno, CA | Onsite

COMPENSATION & SCHEDULE

$22 per hour Full-time W2 employment | 8 weeks Monday

• Friday | 8 hour shift between 6:00AM
• 7:00PM PST Rotating weekend coverage required

ROLE IMPACT

The Licensed Pharm Tech

• Benefit & Claims Resolution person plays a vital role in ensuring timely medication access by resolving pharmacy claims, benefit verification, and prior authorization inquiries.

This position supports pharmacies, providers, and patients by delivering accurate information, compliant documentation, and efficient issue resolution. Success is measured by claims accuracy, service quality, documentation standards, and strict adherence to HIPAA and healthcare compliance regulations. Key Responsibilities Serve as a licensed pharmacy technician resource handling inbound inquiries regarding pharmacy claims processing, benefit verification, eligibility, and prior authorizations Research and resolve claim rejections, third-party billing issues, and coverage discrepancies to prevent therapy delays Explain pharmacy benefit coverage, formulary requirements, and plan details clearly and professionally Accurately document case activity within the ticketing or case management system in accordance with compliance standards Escalate complex clinical or operational matters to pharmacists or internal support teams as appropriate Support omni-channel communication including phone, email, and chat Minimum Qualifications Active Pharmacy Technician license in good standing (any state accepted) 2+ years of experience in pharmacy operations, pharmacy benefit management (PBM), healthcare operations, or high-volume customer support High school diploma or GED Equipment & Work Environment Prolonged computer use with frequent operation of keyboard, mouse, multi-line phone system, and standard office equipment Primarily sedentary role with occasional standing, walking, bending, and reaching Fast-paced healthcare support environment with productivity and accuracy standards Preferred Skills Experience in PBM, managed care, specialty pharmacy, or healthcare call center environments Familiarity with pharmacy claims adjudication systems and third-party billing processes Strong documentation accuracy and compliance-focused mindset 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: https://www.cornerstonestaffing.com/privacy #

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