[Hiring] Patient Support Advocate @Shields Health Solutions

Role Description

Are you an experienced Pharmacy Technician who is passionate about helping patients access the medications they need? In this role, you'll serve as a critical resource for patients, providers, pharmacies, and insurance companies by helping remove barriers to treatment, facilitating medication approvals, securing financial assistance, and supporting medication adherence.

If you enjoy problem-solving, patient advocacy, insurance navigation, and working in a collaborative healthcare environment, we'd love to hear from you.

What You'll Do

• Patient Access & Insurance Support
  • Communicate directly with insurance companies to facilitate medication approvals.
  • Assist patients with managing their pharmacy insurance claims.
  • Work with clinician offices to support prior authorization requests and medication access.
  • Research and secure financial assistance opportunities through foundations, manufacturers, and other funding sources to help patients overcome high-cost copay barriers.
• Pharmacy Operations & Patient Care
  • Navigate pharmacy operating systems to input data, adjudicate test claims, process refills, and develop action plans for follow-up.
  • Review prescriptions with physicians' offices to support optimal patient care.
  • Communicate directly with patients via phone to support medication adherence and compliance.
  • Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience.
• Documentation & Process Improvement
  • Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs.
  • Maintain complete and accurate records of patient communications.
  • Manage, organize, and update relevant data within database systems.
  • Research and analyze information to support strategic decision-making.
  • Apply observations and recommendations to improve operations, productivity, quality, and customer service standards.
  • Identify trends, resolve issues, recommend improvements, and implement changes.
  • Participate actively in process improvement initiatives.
  • Act as a value-added business partner to stakeholders across the organization.
  • Protect organizational value by maintaining confidentiality of information.
  • Maintain professional knowledge through educational opportunities, professional publications, and industry networking.
  • Minimal in-state or out-of-state travel may be required.
  • Perform other duties as assigned.

Qualifications

• 1+ year of experience as a Pharmacy Technician
• High School Diploma or GED required
• State of Rhode Island Pharmacy Technician active license
• PTCB or NHA national certification
• If additional licensure is required, the successful candidate will commit to obtaining the required credential(s) within a mutually agreed-upon timeframe.
• Continued employment is contingent upon meeting all applicable licensure and certification requirements.

Requirements

• Solid computer skills, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint)
• Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

Benefits

• Every day, you'll help patients overcome barriers to treatment, navigate complex insurance requirements, access financial assistance, and stay on track with their medications.
• Your work will directly contribute to better patient outcomes and a higher quality healthcare experience.