Job Description
Put your pharmacy expertise to work beyond the counter in a role focused on claims resolution, prior authorizations, and medication access. Join a collaborative team where your knowledge directly improves the patient experience.
Pharmacy Tech - Patient Service Representative
LOCATION
The Colony, TX (across from Nebraska Furniture Mart) | 100% Onsite
COMPENSATION & SCHEDULE
• $22.00 - $23.00 per hour (Based on experience and certifications)
• Monday – Friday | 10a - 7p CST | Rotating weekend coverage required ( Training hours 9:30a - 6:30p CST)
• W2 Employment | Temp to Hire
ROLE IMPACT
The Patient Service Rep supports medication access by resolving pharmacy claims, benefit verification, eligibility, and prior authorization inquiries. This role works with pharmacies, healthcare providers, and patients to resolve coverage issues accurately and efficiently while maintaining HIPAA and healthcare regulatory compliance. Success is measured by claims accuracy, documentation quality, customer service, productivity, and compliance.
KEY RESPONSIBILITIES
• Support inbound inquiries related to pharmacy claims, pharmacy benefits, eligibility, and prior authorizations.
• Research and resolve pharmacy claim rejections, third-party billing issues, coverage discrepancies, formulary requirements, and plan details.
• Accurately document customer interactions and case activity within internal systems.
• Support customers through phone, email, and chat while meeting quality and productivity expectations.
• Escalate clinical questions and complex issues to licensed pharmacists or appropriate support teams while maintaining HIPAA compliance.
LICENSES & CERTIFICATIONS
• Active Pharmacy Technician License
* Certification through PTCB or NHA required within 6 months of conversion*
• High School Diploma or GED.
• Minimum 2 years of pharmacy technician experience in retail pharmacy, hospital pharmacy, mail order pharmacy, specialty pharmacy, Pharmacy Benefit Management (PBM), or healthcare operations.
CLINICAL SKILL SET
• Pharmacy claims processing and claims resolution
• Benefit verification and eligibility
• Prior authorization support
• Pharmacy claims adjudication
• Third-party billing
• Formulary and pharmacy benefit coverage
• HIPAA-compliant documentation
PREFERRED SKILLS
• Experience with prior authorizations, pharmacy claims processing, PBM, managed care, specialty pharmacy, or healthcare call center operations.
• Familiarity with pharmacy claims adjudication systems and third-party billing.
• Strong attention to detail, documentation, customer service, communication, and ability to manage multiple priorities.
EQUIPMENT & WORK ENVIRONMENT
• Prolonged computer use with keyboard, mouse, headset, and multi-line phone system.
• Primarily sedentary position with occasional standing, walking, reaching, and bending.
• Fast-paced healthcare support environment with productivity, quality, and compliance expectations.
LEGAL NOTICE
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at:
...the coolest place to grow your career in the beauty industry...Drybar is a fun, fast paced, and most importantly, a team focused hair salon type of environment. We only hire hair stylists / cosmetologists with great attitudes, energy and of course, amazing skills to match...
...Position Summary SunEnergy1 is seeking a skilled and dependable Carpenter to support construction activities on commercial and utility-scale solar projects. This role requires frequent travel to project sites and involves hands-on carpentry work including framing...
...About Your Future with TruTeam Are you looking for a career with an industry leader that drives the future of energyefficient insulation and building material products? Is being part of a company that is recognized as a Great Place to Work of value to you? Look no...
...About the job Data Entry Jobs Night Shift Data Entry Jobs Night Shift This is your opportunity to start a long-lasting career with endless opportunity. Find the liberty you've been searching for by taking a minute to finish our online application. Benefits...
...Job Description Job Description Title: Database Manager Department : Development FLSA Classification : Exempt Annual Compensation:$60,000-$65,000 Reports to: Senior Director of Individual Donor Partnerships Summary: The Database Manager...