Pharmacy Technician-PBR

Job Title: Pharmacy Technician - Prescription Benefits and Reimbursement (PBR)

Job Description

This role focuses on supporting patients, providers, and healthcare partners by accurately processing prescription insurance information, adjudicating pharmacy claims, and coordinating medication access in a call center environment. You will handle inbound calls, troubleshoot claim rejections, manage prior authorization workflows, and ensure precise documentation so patients receive timely and safe access to their medications.

Responsibilities

• Locate and enter accurate prescription insurance information into patient profiles by processing eligibility checks and adjudicating pharmacy claims.
• Adjudicate pharmacy claims, identify and troubleshoot claim rejections, and ensure that clear, accurate information is communicated to patients.
• Communicate the need for medication prior authorization to providers and serve as a knowledgeable resource throughout the prior authorization process.
• Manage inbound calls from patients, clients, physicians, practitioners, and clinics regarding order status, available services, and financial support options.
• Serve as a technical resource on claim adjudication processes and identify opportunities to improve workflows and service quality.
• Enter detailed, accurate, and grammatically correct progress notes to ensure proper documentation in patient profiles.
• Contact patients to schedule medication delivery and payment, ensuring all information is correct so distribution can send packages accurately and on time.
• Manage patient refill coordination and follow up with patients to support adherence to their therapy plans.
• Identify and report adverse events and product complaints to clinicians to help ensure patient safety.
• Perform other related duties as assigned, which may vary depending on team or program requirements.

Essential Skills

• 2+ years of prior experience working in a pharmacy or other healthcare setting.
• 2+ years of pharmacy operations experience, including exposure to call center or high-volume environments.
• Certified Pharmacy Technician (CPhT) preferred, current, without restrictions, and in good standing.
• Pharmacy technician certification and experience working as a pharmacy technician.
• Experience with insurance eligibility verification and prior authorization processes.
• Competence in basic computer skills and proficiency in Microsoft applications.
• Strong data entry skills with a focus on accuracy and attention to detail.
• Customer service skills, including handling inbound calls and addressing patient and provider inquiries.
• Ability to troubleshoot claim rejections and serve as a technical resource for adjudication.
• Conscientious and detail oriented, with a demonstrated ability and desire to solve problems for patients.
• Flexible and adaptable, with the ability to work effectively in a team setting to accomplish shared goals.
• Highly motivated, committed to excellence, and able to maintain a positive attitude in a fast-paced environment.
• NC Board of Pharmacy registration (NCBOP) preferred.
• High school diploma required.

Additional Skills & Qualifications

• Experience in a specialty pharmacy or similar setting supporting patients with complex or rare diseases.
• Prior experience in a call center environment handling high call volumes and multiple types of inquiries.
• Strong written communication skills to document clear and grammatically correct progress notes.
• Ability to explain insurance benefits, claim outcomes, and financial support options to patients in a clear and empathetic manner.
• Comfort working with multi-disciplinary teams including clinicians, pharmacists, and support staff.
• Demonstrated commitment to patient-centered care and improving patient outcomes.
• Ability to manage multiple tasks simultaneously while maintaining accuracy and professionalism.

Work Environment

This position is based in a call center environment with no direct face-to-face patient contact. The standard schedule is Monday through Friday, with core hours from 11:00 a.m. to 8:00 p.m. Eastern Time. The operation is open only on weekdays and closes for major holidays. Team members work onsite Monday through Friday, and if converted to a permanent role, may transition to a hybrid schedule that combines onsite and remote work. The setting is an office environment that supports a large, rapidly growing specialty pharmacy focused on simplifying access to medications and delivering personalized care. You will collaborate with a multi-disciplinary team dedicated to helping patients with rare and complex conditions, in a culture that emphasizes employee engagement, patient safety, and high-quality service.

Job Type & Location

This is a Contract position based out of Cary, NC.

Pay and Benefits

The pay range for this position is $22.00 - $24.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Cary,NC.

Application Deadline

This position is anticipated to close on Jul 8, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.