Insurance Claims Manager Jobs in Reno, NV (NOW HIRING)

JOB SUMMARY: The Pharmacy Technician supports daily pharmacy operations by processing prescriptions, filling, and dispensing medications, managing inventory, and assisting patients under the supervision of a pharmacist. This role ensures accurate, efficient, and compliant workflows while supporting 340B program requirement and URAC quality standards. The technician also collaborates with the pharmacy and broader care team to improve medication access and support patient health outcomes.

• Process prescription orders by accurately entering, reviewing, and preparing medications under pharmacist supervision.
• Retrieve, count, package, and label medications in accordance with established accuracy and safety standards.
• Verify patient identity using two identifiers prior to dispensing medications to ensure patient safety.
• Triage and prioritize incoming prescriptions based on urgency, workflow, and patient needs.
• Process and adjudicate prescription insurance claims, including Medicaid, Medicare Part D, and commercial plans, and resolve rejections.
• Maintain accurate patient demographic, insurance, and eligibility information in pharmacy system, including sliding fee scale documentation.
• Ensure prescriptions are filled using the appropriate inventory (340B vs. non340B) based on eligibility and 340B program requirements.
• Support 340B program compliance by following established workflows, maintaining documentation, and escalating discrepancies.
• Maintain complete, accurate, and auditready documentation of dispensing, billing, and patient interactions.
• Assist in inventory management, including receiving, verifying, storing, rotating, and removing expired medications.
• Perform routine cycle counts and participate in annual physical inventory to ensure inventory accuracy and compliance.
• Identify, report, and assist in resolving inventory discrepancies, recalls, shortages, and backorders.
• Provide timely and professional customer service, including answering phone calls and assisting patients with medicationrelated needs.
• Conduct patient outreach to support medication adherence and identifying barriers to medication access.
• Document adherence activities, refill communications, and patient interactions in accordance with policy.
• Coordinate prescription refills, prior authorization support, and communication with providers and care teams to facilitate timely access to medications.
• Assist with mail order and delivery coordination, including verifying eligibility and preparing prescriptions for shipment.
• Utilize pharmacy systems, barcode scanning, and workflow tools to ensure accuracy, traceability, and operational efficiency.
• Handle financial transactions accurately, including cash handling, payment processing, and reconciliation.
• Maintain a clean, organized, and compliant work environment in accordance with safety and infection control standards.
• Maintain compliance with all applicable federal, state, and program requirements, including HIPAA, DEA, HRSA 340B, and URAC standards.
MINIMUM QUALIFICATIONS:
• Active Pharmacy Technician license in good standing in the State of Nevada required.
• Working knowledge of pharmacy billing, including Medicaid, Medicare Part D, and commercial insurance claims processing required.
• Demonstrated ability to maintain patient confidentiality (HIPAA) and professional, ethical conduct required.
• Strong attention to detail with accurate prescription data entry, labeling, and claims processing required.
• Ability to multitask and prioritize effectively in a highvolume, patientcentered environment required.
• Effective communication skills with the ability to work both independently and collaboratively with pharmacists, providers, and care teams required.
• Basic proficiency with pharmacy management systems and standard office software required.
• Familiarity with 340B program operations and compliance requirements preferred.
• Experience with medication access programs, adherence programs, or population health initiatives preferred.
• National Pharmacy Technician Certification (PTCB) preferred.
• 3+ years of pharmacy technician experience preferred.
• Ability to work a consistent MondayFriday schedule or flexible schedule as assigned preferred.
• Bilingual in English and Spanish preferred.

At HOPES, we’re more than just a healthcare provider — we’re a team of changemakers dedicated to delivering affordable, high-quality medical, behavioral health, and support services to everyone in our community.

Why Choose HOPES?
• PurposeDriven Work

Be part of a team that’s transforming lives every day. Your work will directly contribute to improving health outcomes and building a stronger, healthier Northern Nevada.

• PeopleFirst Culture

At HOPES, every team member is encouraged to bring their unique talents and perspectives to the table. Collaboration and innovation are at the heart of everything we do.

• Career Growth and Development

We invest in your future by offering a mentorship program, leadership and soft-skills training, networking opportunities, and support for continuing education.

• Exceptional Benefits

100% employer-paid health insurance Life insurance options 3 weeks of PTO in your first year 12 paid holidays annually Paid Parental Leave (after 12 months) 24/7 Employee Assistance Program Click HERE to view a full list of benefits

• Due to real and potential conflicts of interest that exist when HOPES Behavioral Health providers render services to their coworkers, it is HOPES’ policy (Policy HR0005) that HOPES employees may not access HOPES Behavioral Health Services. For the same reason, current Behavioral Health patients/clients cannot be employed by HOPES. Accordingly, you hereby acknowledge and understand that if you are receiving services from a HOPES Behavioral Health provider at the time you are offered and accept employment with HOPES, you have the option of rescinding your acceptance of employment or finding a new behavioral health provider outside of HOPES before starting employment with HOPES.