Respond to inbound inquiries from providers, medical office staff, and payers by phone, email, and internal messaging
Support providers with real-time order status updates, prescription processing steps, and plan-specific requirements
Triage escalations and resolve urgent or complex order-level issues efficiently
Clearly communicate program requirements, expected copays, and processing timelines
Coordinate with internal partners and external pharmacy networks to remove order bottlenecks
Guide provider teams through billing issues, prior authorizations, tier exceptions, and appeals
Use professionalism, de-escalation and active listening skills to manage provider frustrations and keep communication productive
Log updates across internal systems accurately and on time
Identify common workflow issues and share insights to improve team processes
Superb written documentation of services provided in all cross-functional systems

Active Board of Pharmacy license in the State of Residency.
Active Pharmacy Technician Certification Board (PTCB) certification
Minimum 2 years of pharmacy technician experience and use of proprietary software to process prescriptions
Strong understanding of pharmacy claims processes and coverage workflows
Skilled in managing multiple digital platforms and navigating cross-system tasks
Clear and professional verbal and written communication skills
Ability to provide excellent customer service via inbound communication (calls and emails)
Willingness and ability to learn operational workflows to quickly determine root cause
Collaborative mindset with willingness to take guidance and feedback

Ground floor opportunity with one of the fastest-growing startups in health-tech
Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV
Competitive compensation (commensurate with experience)
Full benefits (medical, dental, vision)
401(k)

Clinical Support Specialist – Tier 1

Key skills