Prior Authorization Technician - Pharmacy Technician

3 months, 1 week ago
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

  • Directly communicate with insurance companies to facilitate medication approvals.
  • Navigate pharmacy operating systems to enter data, adjudicate test claims, and prepare follow-up action plans.
  • Document patient concerns, prior authorization status, and financial assistance needs across databases, electronic medical records, and email.
  • Review prescriptions with doctors' offices to support optimal patient care.
  • Maintain complete and accurate records of patient communications.
  • Assist patients with managing pharmacy insurance claims.
  • Work closely with pharmacists and pharmacy liaisons to support integrated patient care.
  • Communicate with patients by phone to support medication compliance and refill needs.
  • Research and investigate information to support decision-making and operational improvements.
  • Manage, organize, and update relevant data using database applications.
  • Identify trends, resolve problems, recommend improvements, and help implement process changes.
  • Protect confidential information and participate in ongoing educational opportunities.

Requirements

  • High school diploma or GED required.
  • 1+ years of experience as a Pharmacy Technician required.
  • State registered or state certified pharmacy technician required.
  • National certification as a CPhT or equivalent strongly preferred.
  • If no state registration is available in the candidate's state, national certification is required at time of hire.
  • If additional licensure is needed, the candidate must obtain it within a mutually agreed timeframe.
  • Minimal in-state or out-of-state travel may be required.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Contact Center Multi-Channel Specialist

TwinStar Credit Union 201-500 banking

Peak Credit Union is hiring a remote Member Service Representative to support members in Oregon and Washington through calls, chats, and secure messages while helping with financial transactions and account needs.

10 hours, 44 minutes ago

Customer Support Specialist

Buyers Edge Platform 251-1K IT Services

RealTime Solutions, a Buyers Edge Platform brand, is hiring a client-facing representative to support foodservice operator programs, manage day-to-day operations, and help drive participation in loyalty and manufacturer initiatives.

CRM
10 hours, 59 minutes ago

Project Support Specialist

Precision For Medicine 1K-5K Pharmaceuticals

Precision for Medicine is hiring a remote Project Support Specialist to provide cross-functional support to clinical study teams and help manage study operations efficiently.

11 hours, 14 minutes ago

Veterinary Receptionist

Veterinary Practice Partners 251-1K Health Care Providers & Services

Family Pet Clinic is hiring a Veterinary Receptionist to manage front-desk and client-service operations at its full-service veterinary practice.

11 hours, 14 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers