Dispensing & Billing Technician

Cycle Fill Technician (Dispensing & Billing Technician)

Role Objective: Execute prescription processing, insurance billing, refill coordination, and medication cycle management to ensure accurate, timely dispensing and consistent synchronization of patient therapies.

Role Overview: Cycle Fill Technicians are responsible for the day-to-day execution of prescription processing and billing workflows across Centennial Pharmacy Services. This includes entering and adjudicating prescriptions, coordinating refills with prescribers, generating MARs, managing medication cycles, and ensuring all patient prescriptions are accurately prepared for dispensing.

This role functions as the core operational engine of the pharmacy, supporting both production throughput and reimbursement capture while ensuring patients remain synchronized on their medication regimens. The Cycle Fill Technician team serves as the operational backbone of prescription processing and billing, ensuring that medications are:

Accurately billed

Properly synchronized

Fully authorized

Ready for packaging and delivery

This function supports:

Revenue capture and reimbursement accuracy

High-volume prescription throughput

Continuity of care and patient adherence

Scalable operational growth

Strategic Importance to the Business

This role directly impacts:

Prescription volume throughput and production efficiency

Billing accuracy and reimbursement capture

Medication synchronization and adherence

Provider coordination and refill continuity

Patient satisfaction and continuity of care

The Cycle Fill Technician function is considered a foundational, scalable operational role that supports both revenue generation and clinical continuity.

Core Functional Responsibilities:

1. Prescription Entry & Insurance Adjudication

Processes and bills prescriptions accurately through pharmacy management systems.

Enters new prescriptions received via: (LINDSAY NOTE: do they do this?)

E-prescribing

Fax or written orders

Verifies patient demographic and insurance information

Adjudicates prescriptions through payer systems

Resolves claim rejections, edits, and coverage issues

Ensures correct days’ supply, quantity, and billing codes

2. Medication Cycle Management & Synchronization:

Maintains patient medication cycles to ensure consistent monthly packaging and delivery.

Manages patient synchronization schedules

Aligns medication fill dates and quantities to cycle

Processes future fills and future adjudications

Coordinates with clinical and operations teams to ensure cycle accuracy

3. MAR Generation & Documentation:

Prepares and maintains accurate Medication Administration records (MARs) for each patient.

Generates MARs based on current medication profiles

Ensures all therapy changes are accurately reflected

Updates MARs for start dates, discontinuations, and dosage changes

Prepares MARs for pharmacist PVI review and billing processes

4. Refill Coordination & Provider Communication:

Coordinates prescription refills with prescribers and healthcare providers.

Requests refills from physicians’ offices

Follows up on refill requests and therapy clarifications

Communicates therapy changes or missing prescriptions to providers

Ensures all medications are authorized and ready for cycle fulfillment

5. Insurance & Billing Issue Resolution:

Works with billing and pharmacy teams to resolve reimbursement issues.

Investigates rejected claims and coverage issues

Coordinates prior authorizations or alternative therapy requests

Communicates with insurance companies when necessary

Escalates complex billing issues to pharmacists or billing specialists

6. Workflow Coordination & Cross-Team Collaboration:

Coordinates with pharmacy, clinical, and operations teams to ensure complete and accurate patient orders:

Communicates with:

Pharmacists

Clinical onboarding team

Operations and packaging teams

Ensures prescriptions are ready for:

Packaging

Final verification

Delivery

7. Patient & Caregiver Communication Support:

Provides support for patient inquiries related to prescriptions and refills.

Assists with refill requests and medication questions

Communicates status of prescriptions and cycle fills

Routes clinical questions to pharmacists as appropriate

Typical Day-to-Day Structure

Morning – Prescription Intake & Billing

Enter new prescriptions and process refills

Adjudicate insurance claims and resolve rejections

Midday – Cycle Management & MAR Preparation

Align patient medication cycles

Generate and update MARs

Coordinate refill requests with providers

Afternoon – Issue Resolution & Workflow Coordination

Resolve insurance or billing issues

Coordinate with pharmacy and packaging teams

Prepare prescriptions for next-day production

Ongoing / Weekly Responsibilities

Maintain synchronization schedules

Follow up on refill requests

Support patient communication and documentation

Key Person Risk & Scalability Considerations

This role is highly standardized, process-driven, and scalable, with minimal reliance on any single individual.

Risk & Continuity

Workflows governed by:

SOPs for prescription entry, billing, and refill coordination

Pharmacy management system controls (PioneerRx)

Cross-training among technicians ensures:

Coverage during absences

Continuity of production workflows

Billing and documentation systems provide audit trails and oversight

Scalability

The Cycle Fill Technician function scales directly with prescription and patient volume.

Additional technicians can be added as volume increases

Workflows can be segmented by:

Patient zones

Payer types

Therapy categories

Automation opportunities include:

Electronic refill requests

Batch billing and adjudication tools

MAR automation enhancements

This role represents a repeatable, scalable workforce model that supports Centennial’s growth without creating operational bottlenecks.

Pay: $21.00 - $23.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Free parking
• Health insurance
• Health savings account
• Life insurance
• Opportunities for advancement
• Paid time off
• Paid training
• Professional development assistance
• Retirement plan
• Vision insurance

Work Location: In person