Phil, Inc. logo
Phil, Inc.

Medication Access, Simplified. We are on a mission to help people get their medications quickly, easily and affordably.

Patient Support Pharmacy Solutions Coordinator

PharmacistPharmacistFull TimeRemoteSeniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

24 days ago

Salary

$22 - $26 / hour

Seniority

Senior

Professional Certificate3 yrs expEnglishSwift

Job Description

Patient Support Pharmacy Solutions Coordinator

Phil, Inc.

• Conduct thorough research on order and ticket history to recommend the best resolution that aligns with department guidelines. • Ensure all Service Level Agreements (SLAs) are met. • Contact relevant stakeholders to resolve issues that require cross functional collaboration that may impact a successful patient experience. • Build strong internal and external rapport, maintaining positive customer and partner relationships. • Review and respond to internal escalation requests in a timely and accurate manner. • Proactively initiate, troubleshoot, and resolve PAs and appeals via vendor portals; analyze determination trends to provide valuable insights for patient education. • Serve as the expert liaison between prescribers, insurance payers, and partner pharmacies, translating technical hurdles into actionable solutions that ensure patient access to therapy. • Partner closely with Customer Support to provide clear, jargon-free updates and documentation in our operating systems, ensuring the team has the patient-ready insights needed to support the patient’s journey. • Efficiently navigate multiple software systems and vendor portals with a self-starter mindset, maintaining the flexibility to prioritize tasks based on clinical urgency. • Investigates complex claim rejections and partners with payers and pharmacies to diagnose root causes and establish and execute a clear resolution pathway that is in accordance with regulatory requirements and manufacturer business rules. • Act as the primary technical "fixer" for orders falling outside standard workflows, resolving obstacles such as insurance exceptions, pharmacy rejections, failed transfers, and state-specific shipping regulations.

Job Requirements

  • Licensed Pharmacy Technician in your state of residence
  • Minimum 3 years of professional pharmacy technician or prior authorization experience
  • Proven abilities in complex problem-solving and critical thinking.
  • Highly resourceful, detail-oriented, and capable of seeing complex issues through to completion.
  • Demonstrated adaptability to swift program and process changes.
  • Familiarity with Zendesk, Phil Dashboard, Phil organization structure, and processes.
  • Good general understanding of computers, hardware, networks, and related technology.
  • Minimum 3 months of tenure with Phil (Internal Candidates).
  • Consistent history of great attendance.
  • Average performance scores of 95% QA.

Benefits

  • Overtime (OT) and holiday work may be required.

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