Remote Certified Pharmacy Technician - Billing Specialist (7 on/7 off, Third Shift)

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

Overnight Billing Specialist

ExactCare Pharmacy is seeking a detail-oriented and reliable Billing Specialist to join our Patient Care Center of Excellence. This role is fully remote and dedicated exclusively to billing responsibilities. The ideal candidate will have experience in pharmacy claim adjudication, eligibility verification, and working with pharmacy billing systems.

This position follows a 7-on/7-off rotating schedule and requires overnight availability. It offers the opportunity to work in a fast-paced, high-volume environment supporting ExactCare’s nationwide patient base.

This is an office (or remote) based, cubicle environment, allowing the Pharmacy Technician to provide an exceptional patient experience. ExactCare Pharmacy provides a fast-paced, high energy environment, allowing Pharmacy Technicians to excel in many areas with a focus on phone based pharmacy work.

Key Responsibilities
• Perform real-time and batch pharmacy claim adjudication across multiple payers.
• Conduct detailed eligibility verification checks using insurance portals or third-party tools.
• Review rejected claims and take corrective action to resolve billing errors.
• Maintain accurate, complete documentation in the pharmacy system.
• Communicate electronically via Microsoft Teams and Outlook with internal teams (pharmacists, technicians, billing) to resolve billing issues.
• Prioritize claims based on urgency and turnaround time requirements.
• Escalate systemic billing or coverage issues as appropriate.
• Work independently in a high-volume, deadline-driven environment.

Preferred Experience
• Familiarity with pharmacy billing systems such as Rx30.
• Understanding of Medicare Part D, Medicaid, and commercial insurance billing.

Skills & Abilities
• Strong understanding of pharmacy billing workflows and terminology.
• Excellent attention to detail and organizational skills.
• Ability to work independently with minimal supervision during overnight shifts.
• Comfortable using technology to navigate multiple systems simultaneously.
• Strong written communication skills for documentation and cross-team collaboration.
• Ability to uphold ExactCare’s standards for data integrity and compliance.

Requirements
• High school diploma or GED required.
• Certified with the Pharmacy Technician Certification Board (PTCB) or the National Health Association (NHA) and maintain a current certificate.
• Must maintain a pharmacy technician registration with the State Board of Pharmacy in the state they reside in.
• Prior pharmacy billing experience required.
• Must be 18 years or older.
• Ability to perform in an office-based (or remote) setting that requires sitting at a desk 90% of the time.
• Must have reliable high-speed internet and a quiet, dedicated private and distraction free workspace for adherence to HIPAA.
• Must be able to work a 7 on/7 off schedule of, Monday through Friday, 6:30 PM – 5:00 AM ET Saturday & Sunday, 6:00 PM – 6:00 AM ET

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

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