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Experienced Remote Pharmacy Technician – Data Entry & Claims Processing – Full-Time, Flexible Hours
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Introduction
arenaflex is a trailblazer in the pharmacy and healthcare technology sector, dedicated to delivering high‑quality medication services and data solutions to patients across the United States. Our mission is to streamline pharmacy operations through cutting‑edge technology, meticulous data management, and a customer‑centric approach. As we expand our remote workforce, we’re seeking a seasoned Pharmacy Technician to join our team and help us maintain the highest standards of accuracy, compliance, and patient satisfaction. If you thrive in a fast‑paced, data‑driven environment and are passionate about making a tangible difference in people’s health, this role is for you.
Key Responsibilities
In this full‑time, remote position, you will serve as the backbone of our pharmacy’s data entry and claims processing functions. Your day‑to‑day tasks will include, but are not limited to:
- Accurately entering prescription data into Pioneer Rx and other pharmacy management systems.
- Verifying patient and prescriber information—date of birth, contact details, allergies, disease states, and billing data—to ensure compliance with state and federal regulations.
- Processing new and refill prescriptions, including electronic and paper orders, and coordinating with pharmacists for verification and approval.
- Managing third‑party claims adjudication: reviewing denials, initiating appeals, and following up with payers to secure timely reimbursement.
- Conducting outreach to patients, providers, and third‑party payers to resolve prescription issues, clarify coverage, and obtain prior authorizations.
- Maintaining meticulous records for Controlled Substance Dispensing, Medicare DMEPOS paperwork, and other regulatory filings.
- Collaborating with the Operations team to support Medication Therapy Management (MTM) initiatives and data collection efforts.
- Providing exceptional customer service by handling inquiries professionally, promptly, and courteously.
- Adhering to arenaflex’s policies on data security, confidentiality, and quality assurance.
- Participating in ongoing training and professional development to stay current with industry best practices and regulatory changes.
Essential Qualifications
To excel in this role, you must meet the following criteria:
- Minimum of three (3) years of experience as a licensed Pharmacy Technician.
- Active Missouri Board of Pharmacy license (or equivalent state license).
- Proficiency with Pioneer Rx pharmacy software and electronic health record (EHR) systems.
- Strong understanding of prescription drug regulations, including MMEs, PDMP, and controlled substance protocols.
- Excellent written and verbal communication skills, with the ability to explain complex medication information to patients and providers.
- Self‑motivated, detail‑oriented, and capable of managing multiple tasks simultaneously in a remote setting.
- Proficient troubleshooting skills and the ability to use available resources to resolve issues quickly.
- Current national pharmacy technician certification (e.g., PTCB, NPhT).
Preferred Qualifications
While not mandatory, the following qualifications will give you a competitive edge:
- Experience with Medicare Part D and DMEPOS billing.
- Background in retail pharmacy operations and workflow optimization.
- Knowledge of the metric system and advanced math skills for dosage calculations.
- Familiarity with aseptic techniques and medication compounding.
- Previous remote work experience, especially in a virtual pharmacy environment.
- Additional certifications such as Certified Pharmacy Technician (CPhT) or Certified Medication Therapy Management (CMTM).
Skills & Competencies
Success at arenaflex requires a blend of technical expertise and soft skills. You should be able to:
- Navigate complex software platforms with ease and maintain data integrity.
- Communicate clearly and empathetically with patients, providers, and team members.
- Analyze claim data to identify patterns and implement process improvements.
- Adapt quickly to changing regulations and technology updates.
- Work independently while staying aligned with team goals and company standards.
- Demonstrate a proactive approach to problem solving and continuous learning.
Career Growth & Learning Opportunities
arenaflex is committed to fostering professional growth. As a remote Pharmacy Technician, you will have access to:
- Structured onboarding and mentorship programs to
