[Hiring] Prior Authorization Certified Pharmacy Technician @Shields Health Solutions

Role Description

Help Patients Access the Medications They Need—When They Need Them Most. Are you a Pharmacy Technician who is passionate about patient care, medication access, and making a meaningful difference in patients' lives? Join our team as a Patient Support Advocate, where you'll serve as a trusted resource for patients, providers, insurance companies, and financial assistance programs to help remove barriers to treatment and improve medication adherence.

In this rewarding role, you'll combine your pharmacy knowledge, insurance expertise, and patient advocacy skills to help patients navigate complex healthcare systems and gain access to life-changing medications.

What You'll Do

• Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
• Navigate pharmacy operating systems to enter data, adjudicate test claims, and develop follow-up action plans.
• Document patient concerns, prior authorization status, and financial assistance needs across multiple databases, electronic medical records (EMRs), and email platforms.
• Collaborate with physicians' offices to ensure patients receive optimal care and access to prescribed therapies.
• Maintain complete and accurate records of all patient communications and case activity.
• Assist patients with pharmacy insurance claims and medication access challenges.
• Partner closely with pharmacists and pharmacy liaisons to deliver an integrated, high-quality patient care experience.
• Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.
• Research and investigate information to support informed decision-making and patient outcomes.
• Manage, organize, and update data using various database applications.
• Identify operational opportunities, recommend improvements, and support enhanced productivity, quality, and customer service standards.
• Analyze trends, resolve issues, implement solutions, and contribute to continuous process improvement initiatives.
• Serve as a value-added business partner to stakeholders throughout the organization.
• Protect confidential patient and organizational information in accordance with company policies.
• Stay current with industry trends and best practices through continuing education, professional publications, networking, and professional organizations.
• Perform other duties as assigned.

Minimal in-state or out-of-state travel may be required.

Qualifications

• Minimum 1+ year of Pharmacy Technician experience.
• High School Diploma or GED required.
• State registered or state certified as a Pharmacy Technician, where applicable.
• National certification (CPhT or equivalent) required.

Requirements

• If the candidate's state of residence does not offer Pharmacy Technician registration, national certification is required at the time of hire.
• Should additional licensure be necessary, the selected candidate must obtain the required credential(s) within a mutually agreed-upon timeframe.
• Continued employment is contingent upon maintaining required licensure and certification standards.

Benefits

• Hourly Pay Range: $19.45 - $22.21 per hour.
• Actual compensation may vary based on factors including, but not limited to geographic location, skills and abilities, education, relevant experience, certifications and licensure, and other job-related considerations.

Company Description

Every day, patients face challenges accessing essential medications due to insurance requirements, high out-of-pocket costs, and healthcare system complexities. As a Patient Support Advocate, you'll play a vital role in helping patients overcome these barriers, stay on therapy, and achieve better health outcomes.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email [email protected].