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Arbiter/Failed Claims Technician

WellDyne·Lakeland, Florida

Full Time·On Site·0-2 yrs·Posted 4 months ago
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About the role

The technician will perform routine pharmacy functions under supervision, primarily by updating prescription orders, managing the arbiter email box, and handling orders in the failed claims and high co-pay queues. Key duties include ensuring accurate insurance information for adjudication and managing refill/dose change checks.

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do.

We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.

Our Vision: Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.

Our Mission: To be the disruptive force that drives meaningful change within pharmacy services.

Summary Under the direct supervision of the Pharmacy Supervisor (FL), update prescription orders following all pharmacy procedures and guidelines.

Essential Duties and Responsibilities

Perform routine, professional pharmacy functions.

Respect and maintain confidentiality guidelines of HIPAA.

Follow and aid in enforcement of all company policies and procedures.

Answer all emails in the arbiter email box in a timely and accurate manner.

Responsible for orders in failed claims and high co-pay queue.

Ensure insurance information is accurate for correct adjudication.

Accountable for checking patient history for refill too soon, increase/decrease of dose, and duplicate scripts.

Ensure all prior authorizations are started in a timely and accurate manner.

Responsible for other duties as assigned.

  • Education and Experience
  • High School Diploma or equivalent
  • Registered Pharmacy Technician with the State of Florida.
  • Preferred – national certification (CPhT)
  • One year minimum of pharmacy experience
  • Knowledge of health insurance plans
  • Familiarity with Microsoft Word, Excel, and Outlook

Knowledge, Skills, and Abilities

Attention to detail.

Ability to handle multiple activities or interruptions at once.

Ability to communicate effectively, patiently and courteously.

Focused team player, who can work in conjunction with pharmacists, other departments, customers, and management.

Work independently with little supervision and meet daily deadlines.

Ability to perform repetitious work accurately.

Work Environment / Physical Demands This position is in a typical office environment which requires prolonged sitting and standing in front of a computer. In addition, this position requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment, including the operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients and employees. This position may be required to work long hours

Requirements

Candidates must possess a High School Diploma or equivalent and be a Registered Pharmacy Technician with the State of Florida, preferably holding national certification (CPhT). A minimum of one year of pharmacy experience and knowledge of health insurance plans are required.

  • high school
  • professional certificate
  • Teamwork
  • Attention To Detail
  • Communication
  • Time Management
  • HIPAA Compliance
  • Independent Work
  • Prior Authorizations
  • Data Accuracy
  • Pharmacy Procedures
  • Insurance Adjudication

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
0-2 yrs
Location
Lakeland, Florida
Posted
Mar 12, 2026
Application
Employer website
WE

Hiring organization

WellDyne

Industry leaders and clinical experts are writing the WellDyne story, stepping outside the traditional PBM model to better serve clients and members. In today’s complex, ever-changing healthcare environment, there has never been a more important time to make pharmacy benefits...

Salary listed on 1 job
IndustryHospitals and Health Care
TypePrivately Held
Size501-1,000 employees
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Market context

Florida ambulatory care pharmacy roles are selective

In Florida, ambulatory care pharmacy roles are often competitive because employers typically look for an active Florida pharmacy license plus specialized residency training or several years of clinical ambulatory care experience. Spanish proficiency can be a meaningful advantage in patient-facing settings, especially where bilingual communication supports care access. Review the AI-summarized requirements and benefits here to quickly compare fit, since they are distilled from the original posting and can save research time before you apply.

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