Remote Prior Authorization Pharmacy Technician

17 hours, 29 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

  • Communicate directly with insurance companies to support medication approval and prior authorization processing.
  • Navigate pharmacy dispensing and operating systems to enter data, adjudicate claims, and prepare follow-up plans.
  • Document patient concerns, prior authorization status, and financial assistance needs in databases, electronic medical records, and email systems.
  • Review prescriptions with doctors' offices to help ensure appropriate patient care.
  • Maintain complete and accurate records of patient communications and case activity.
  • Assist patients with pharmacy insurance claims and medication access issues.
  • Work with pharmacists and pharmacy liaisons to support coordinated patient care.
  • Speak with patients by phone to help with medication compliance, refills, and adherence support.
  • Research and investigate information to support decision-making and resolve operational issues.
  • Participate in process improvement efforts, identify trends, recommend improvements, and implement change.

Requirements

  • 1+ years of experience as a Pharmacy Technician.
  • State registered or state certified as a pharmacy technician.
  • National certification as a CPhT or equivalent is strongly preferred.
  • National certification is required at time of hire if the candidate's state does not offer state registration.
  • Commitment to obtain any additional required licensure within a mutually agreed upon timeframe.
  • High school diploma or GED required.
  • Ability to work with pharmacy dispensing systems, databases, electronic medical records, and email systems.
  • Minimal in-state or out-of-state travel may be required.

Interested in this position?

Apply directly on the company website

Apply Now

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