Pharmacy Technician (Bilingual)

The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco.  The center offers primary health care services, adult medicine, pediatrics, family planning, OB/GYN, HIV and homeless services. We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve.

We are currently looking for qualified candidates for our Pharmacy Technician role. Please note: This role requires applicants to be bilingual in English and Spanish. This position reports to the Pharmacy Director and is a Regular, Full-Time, Non-Exempt role with an hourly rate of $31.08.

ESSENTIAL FUNCTIONS / RESPONSIBILITIESPrescription Processing & Data Entry

• Receive written, electronic (eRx), faxed, and authorized refill prescriptions; accurately enter prescription information into the pharmacy management system in compliance with state and federal regulations.
• Verify completeness and accuracy of prescription information, including patient demographics, medication details, prescriber information, and refill status.
• Process refill requests and identify medications due for refill, discontinued therapies, prior authorization requirements, or prescriptions requiring pharmacist intervention.
• Generate prescription and auxiliary labels; prepare prescriptions for pharmacist verification.
• Assist with prescription transfers in accordance with California law.

• Retrieve, count, pour, measure, and package medications for pharmacist verification.
• Select appropriate prescription containers and ensure proper labeling and packaging.
• Prepare compliance packaging (e.g., medi-sets, blister packs) as authorized and supervised by the pharmacist.
• Assist in preparation of non-sterile compounded medications, if applicable and permitted.
• Stage completed prescriptions for pharmacist final verification and patient pickup or delivery.

• Submit prescription claims electronically to third-party payers.
• Troubleshoot claim rejections, coordination of benefits issues, and prior authorization requirements.
• Communicate with insurance providers, medical providers/clinical staff, and patients to resolve billing issues.

Customer Service & Communication

• Manage inbound and outbound calls related to prescription processing, refill coordination, delivery scheduling, and insurance issues.
• Provide professional and courteous service at prescription drop-off and pickup counters.
• Operate the Point-of-Sale (POS) system for prescription and over-the-counter sales.
• Support pharmacist consultations and immunization services by assisting with patient intake and workflow coordination.
• Provide Spanish-language translation services for patients and staff, as needed.

• Create and submit inventory orders to approved wholesalers.
• Maintain appropriate inventory levels by monitoring stock usage and anticipating demand.
• Receive, verify, and reconcile medication orders in the pharmacy system.
• Remove expired, damaged, or recalled medications in accordance with regulatory requirements.
• Process reverse distribution and inventory returns to wholesalers or manufacturers in compliance with company policy and applicable regulations.
• Process “return-to-stock” prescriptions in a timely manner to maintain accurate inventory records.
• Assist with controlled substance inventory management and documentation as permitted by law.

• Assist and coordinate pharmacy specialty services, including prescription delivery scheduling, courier coordination, and patient notification.
• Prepare and manage compliance packaging programs (e.g., medi-sets, adherence packaging).
• Support medication synchronization and adherence programs.
• Conduct patient outreach related to refills, specialty services, recalls, or pharmacist-directed follow-up.

• Reconcile end-of-day POS reports and prepare required financial documentation for submission to the finance department.
• Run daily closing reports in pharmacy and POS systems.
• Follow established cash-handling procedures.

• Maintain pharmacy cleanliness, organization, and security in accordance with regulatory and company standards.
• Ensure proper storage conditions for medications, including temperature monitoring and documentation.
• Assist in maintaining accurate inventory, reporting, and documentation in accordance with 340B program policies and federal regulations.
• Safeguard Protected Health Information (PHI) and comply with HIPAA requirements.
• Report any medication errors, safety incidents, or operational concerns to the Pharmacist-in-Charge (PIC) or Rph on duty in a timely manner, in accordance with company policy and regulatory requirements.
• Adhere to California Board of Pharmacy regulations, DEA requirements, and company policies.
• Maintain active California Pharmacy Technician registration and complete required continuing education.

• Provide professional, patient-centered service with empathy and cultural sensitivity.
• Maintain composure and responsiveness in a fast-paced environment.

• Follow all safety protocols, regulatory requirements, and company policies.
• Protect patient confidentiality and promptly report safety concerns or incidents.

• Ensure accuracy in data entry, medication preparation, and billing.
• Communicate effectively and collaborate with pharmacists and team members to support efficient workflow.
• Ability to work independently while contributing effectively to a team environment.

• Prioritize tasks, demonstrate flexibility, and seek pharmacist guidance when appropriate.
• Ability to multitask and prioritize responsibilities in a fast-paced setting.
• Composure and tact under pressure.

• High school diploma or equivalent (GED).
• Active, unrestricted California Pharmacy Technician registration issued by the California State Board of Pharmacy.
• Completion of a pharmacy technician training program accredited by the American Society of Health-System Pharmacists (ASHP), or qualifying education and experience meeting California Board of Pharmacy requirements.
• Bilingual in English and Spanish.
• Proficiency in pharmacy management systems and electronic prescription processing.
• Working knowledge of third-party insurance billing platforms.
• Knowledge of patient eligibility, enrollment procedures, and privacy and security standards.
• Strict adherence to patient health and financial information confidentiality in compliance with HIPAA and organizational policies.
• Strong attention to detail and organizational skills.
• Demonstrated professionalism, integrity, sound judgment, and strong customer service orientation.
• Effective verbal and written communication skills with patients, providers, and team members in a multicultural environment.
• Proficiency in Microsoft Office applications (Outlook, Word) and general computer systems.

• National certification (PTCB or ExCPT).
• Current Basic Life Support (BLS) certification (if supporting immunization services).
• One year of retail pharmacy experience.

• Requires prolonged standing and walking throughout scheduled shifts.
• Requires frequent use of hands and fingers for typing, data entry, medication preparation, labeling, and operating pharmacy equipment.
• Requires reaching, bending, stooping, and occasional squatting.
• May require lifting and carrying items up to 25–50 pounds (e.g., medication totes, inventory shipments).
• Requires the ability to see clearly at close range for reading prescriptions, medication labels, and computer screens.
• Requires the ability to communicate effectively in person and by telephone.
• Work is performed in a retail pharmacy environment with moderate noise levels and frequent public interaction.

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