Patient Onboarding Specialist – MA Pharmacy License

October 30

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Shields Health Solutions

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Healthcare Insurance • Pharmaceuticals • SaaS

Shields Health Solutions is a company that specializes in providing integrated specialty pharmacy solutions. They focus on eliminating disruptions in patient care by offering a comprehensive model that bridges the gap between patients and the specialty medications they need. Shields Health Solutions partners with healthcare providers and drug manufacturers to optimize the impact of specialty pharmacy services. Their approach leverages a clinical model, expert care teams, and a proprietary technology platform to improve patient access to specialty drugs, while reducing the overall cost of care. Shields Health Solutions aims to enhance patient experiences and health outcomes through their innovative solutions in specialty pharmacy integration.

501 - 1000 employees

Founded 2011

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

📋 Description

• Enroll eligible patients into the Shields partner health system pharmacy program. • Call and/or communicate directly with patients when completing the enrollment process. • Work with regional leaders and Liaisons to ensure patients are properly and fully onboarded. • Ensure patients are properly setup in the pharmacy to receive their medication from the new pharmacy without interruption or gap in care. • Performs test claims to verify pharmacy copay amount. • Verifies insurance eligibility and benefit levels. • Utilize multiple approved tools to identify insurance coverage. • Research within patients' medical records for current medication regimen. • Complete benefits investigation with approved Pharmacy Dispensing Systems. • Document clearly and concisely all outcomes of benefits investigation in documentation tool. • Collaborate with team members to provide an integrated approach of quality patient care. • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards. • Identify trends, resolve problems; recommend improvements; implement change. • Actively participate in process improvement initiatives. • Act as a value-added business partner to stakeholders throughout the organization. • Protect organization's values by keeping information confidential. • Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations. • Other duties as assigned.

🎯 Requirements

• 1+ years as a Pharmacy Technician • Nationally certified from PTCB or equivalent is strongly preferred but not required. • High school diploma or GED required.

🏖️ Benefits

• Flexible scheduling to meet needs of health system partners.