Clinical Support Specialist Tier 1

Position Overview

Responsibilities

• 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

Required Qualifications

• 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

Benefits

• Ground floor opportunity with one of the fastest-growing startups in health-tech
• Competitive compensation (commensurate with experience)
• Full benefits (medical, dental, vision)
• 401(k)