Pharmacy Technician – Billing Specialist

Tarrytown Expocare Pharmacy

. Adjudicate insurance claims and resolve rejections in a multi-state environment .

Posted 9/15/2026full-timeRemote • Texas • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in adjudicating insurance claims and managing pharmacy operations, with a strong understanding of Medicare and Medicaid policies. Proficient in communication and problem-solving within a fast-paced pharmacy environment.

Highest-signal resume keywords

Medicare Part D KnowledgeTX State Board of Pharmacy Technician LicenseFrameworkLTC ExperienceRetail Pharmacy ExperienceMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Claims AdjudicationPrior Authorization ManagementPrescription InterpretationTyping Speed of 50 WPMOrder Exception Handling

Soft Skills

Excellent Communication SkillsActive ListeningProblem-Solving AbilitiesTeam CollaborationAbility to Handle Difficult Conversations

Tools & Technologies

Microsoft Office SuiteOutlookExcel

Certifications & Qualifications

TX State Board of Pharmacy Technician License

Industry Keywords

MedicareMedicaidManaged MedicaidRetail PharmacyLong-Term Care Pharmacy

About the role

Key responsibilities & impact

Adjudicate insurance claims and resolve rejections in a multi-state environment
Properly handle order exceptions such as refill-too-soon and invalid orders
Work with prescribers to clarify prescriptions and obtain prior authorizations
Manage routine notification of insurance issues and communicate with caregivers
Stay updated on current Medicare/Medicaid policies and common insurance practices
Work with others to resolve common coverage issues or concerns

Requirements

What you’ll need

Working knowledge of Medicare Part D, Medicaid, and Managed Medicaid in Texas
Minimum one year experience in a retail or long-term care pharmacy environment
1+ year of recent experience with FrameworkLTC
Must possess a TX State Board of Pharmacy Technician License
Type an average of 50 wpm
Excellent phone skills, verbal and written communication skills, and active listening
Proficient with Microsoft Office Suite or related software, including Outlook and Excel
Comfortable making phone calls and handling difficult conversations
Understands basic pharmacy language to interpret prescriptions
Preferred: 3+ years’ experience in a retail or long-term care pharmacy environment
Excellent problem-solving abilities
Ability to function well in a high-paced and, at times, stressful environment
Team player willing to assist other departments when needed
Communicate effectively with leadership and peers
Must be available for occasional overtime
Must be able to withstand long hours of computer screen time
Repetitive motion desk work

Benefits

Comp & perks

Competitive compensation
Comprehensive healthcare benefits
401(k) retirement plan
Paid time off
An awesome work environment
Opportunities to advance and grow your career
Occasional overtime