Pharmacy Claims & Benefits ( Remote)
Manpower Group (USA), North Canton, OH, United States
Our client, a leading organization in healthcare support services, is seeking
Pharmacy Claims & Benefits Techs
to join their team. In this role, you will be part of the Claims Processing Department supporting healthcare providers, insurance carriers, and members. The ideal candidate will have excellent communication skills, a proactive attitude, and strong problem‑solving abilities, which will align successfully in the organization.
Job Title
Pharmacy Claims & Benefits (Remote)
Location
Must reside within 45 miles of North Canton, OH (For hybrid flexibility, 1‑2 days if needed)
Pay
$20.50
Shift
11:30 am – 8:00 pm, Monday to Friday, with some Saturdays (9am – 5pm) and overtime as required
What's the Job?
Verify insurance eligibility and process prescriptions using current insurance data and requirements
Place outbound calls to providers, insurers, and patients to clarify prescription or billing issues
Coordinate adjudication support with Pharmacy Benefit Management (PBM) services
Maintain detailed records of all correspondence, complaints, and actions taken
Support training and process updates for team members and assist internal departments as needed
What's Needed?
High School Diploma required
Current Nationally Certified Pharmacy Technician (CPhT) & Registered Pharmacy Technician with applicable State Board
Minimum 2+ years of experience in a pharmacy setting (retail, mail order, specialty pharmacy, PBM, pharmaceutical, or managed care environment preferred)
Experience with claims adjudication, secondary billing, discount cards, and Medicaid preferred
Proficiency with Microsoft Office and industry-related software
What's in it for me?
Opportunity to work in a hybrid remote environment with potential onsite requirements in North Canton, OH
Comprehensive onboarding and training process over Teams
Performance‑based pathway to hire
When hired, Paid time off, including 16 days PTO frontloaded and 10 paid holidays
401(k) plan with 5% match, medical, dental, and vision insurance
#J-18808-Ljbffr
Pharmacy Claims & Benefits Techs
to join their team. In this role, you will be part of the Claims Processing Department supporting healthcare providers, insurance carriers, and members. The ideal candidate will have excellent communication skills, a proactive attitude, and strong problem‑solving abilities, which will align successfully in the organization.
Job Title
Pharmacy Claims & Benefits (Remote)
Location
Must reside within 45 miles of North Canton, OH (For hybrid flexibility, 1‑2 days if needed)
Pay
$20.50
Shift
11:30 am – 8:00 pm, Monday to Friday, with some Saturdays (9am – 5pm) and overtime as required
What's the Job?
Verify insurance eligibility and process prescriptions using current insurance data and requirements
Place outbound calls to providers, insurers, and patients to clarify prescription or billing issues
Coordinate adjudication support with Pharmacy Benefit Management (PBM) services
Maintain detailed records of all correspondence, complaints, and actions taken
Support training and process updates for team members and assist internal departments as needed
What's Needed?
High School Diploma required
Current Nationally Certified Pharmacy Technician (CPhT) & Registered Pharmacy Technician with applicable State Board
Minimum 2+ years of experience in a pharmacy setting (retail, mail order, specialty pharmacy, PBM, pharmaceutical, or managed care environment preferred)
Experience with claims adjudication, secondary billing, discount cards, and Medicaid preferred
Proficiency with Microsoft Office and industry-related software
What's in it for me?
Opportunity to work in a hybrid remote environment with potential onsite requirements in North Canton, OH
Comprehensive onboarding and training process over Teams
Performance‑based pathway to hire
When hired, Paid time off, including 16 days PTO frontloaded and 10 paid holidays
401(k) plan with 5% match, medical, dental, and vision insurance
#J-18808-Ljbffr