Benefits Investigations Pharmacy Technician

2 days, 2 hours ago
Full-time
Entry Level
Customer and Technical Support
Shields Health Solutions

Shields Health Solutions

Shields Health Solutions is the first and largest company in the nation to integrate specialty pharmacies within hospitals, focusing on improving patient outcomes and system-wide growth. Their programs and data platforms reduce costs, achieve better cl...

Health Care Providers & Services
1K-5K
Founded 2012

Description

  • Perform patient benefits investigations to determine coverage and eligibility.
  • Use approved tools to identify insurance coverage.
  • Review patient medical records to verify current medication regimens.
  • Complete benefits investigations in approved Pharmacy Dispensing Systems.
  • Document investigation outcomes clearly and concisely in the documentation tool.
  • Collaborate with team members to support integrated patient care.
  • Identify operational trends and recommend process improvements to increase productivity, quality, and customer service standards.
  • Participate in process improvement initiatives and help implement change.
  • Maintain confidentiality and protect sensitive patient and organizational information.
  • Update job knowledge through educational opportunities, professional reading, networking, and industry participation.

Requirements

  • 0-1 years of experience as a pharmacy technician.
  • High school diploma or GED.
  • State license is required, with state certification required depending on hospital placement.
  • Willingness to obtain required licensure within a mutually agreed upon timeframe if needed.
  • National certification through PTCB or equivalent is strongly preferred.
  • Strong computer skills with the ability to quickly learn Electronic Medical Records (EMR) and Pharmacy Dispensing Systems (PDS).
  • Must be organized, self-motivated, detail-oriented, dependable, and have strong interpersonal skills.
  • Must demonstrate high integrity, discretion, and the ability to handle highly sensitive and private data.

Interested in this position?

Apply directly on the company website

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