Pharmacy Technician Prior Authorization

10 minutes ago
Full-time
Junior
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

  • Work with insurance companies to obtain medication approvals and resolve coverage barriers.
  • Use pharmacy systems to enter data, run test claims, and manage follow-up actions.
  • Document patient needs, authorization status, and assistance efforts across systems and EMRs.
  • Communicate with prescribers to ensure accurate and appropriate prescriptions.
  • Maintain detailed records of patient interactions and case activity.
  • Assist patients with insurance claims and medication adherence over the phone.
  • Partner with pharmacists and liaisons to support coordinated patient care.
  • Research information to support decisions and operational improvements.
  • Manage and update data in relevant databases and web-based systems.
  • Identify issues, recommend solutions, and participate in process improvement initiatives.

Requirements

  • Active Texas Pharmacy Technician license is required.
  • National Pharmacy Technician Certification (CPhT) is required.
  • State-registered Texas Pharmacy Technician status is required.
  • 2+ years of experience as a pharmacy technician is required.
  • High School Diploma or GED is required.
  • Strong communication, organization, and technical skills are required.
  • Solid computer skills are required, including Microsoft Office tools: Outlook, Teams, Word, Excel, and PowerPoint.
  • Experience navigating the internet and web-based platforms is required.
  • Data entry and computer skills will be evaluated through a pre-employment assessment.
  • Empathy, integrity, and a team-first mindset are preferred attributes.

Benefits

  • Medical, dental, and vision insurance starting day one.
  • 401(k) with match.
  • 4 weeks of PTO and 10 paid holidays.
  • Paid parental leave.
  • Short-term disability coverage.
  • Professional development support.
  • Access to employee resource groups and wellness programs.

Interested in this position?

Apply directly on the company website

Apply Now

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