Benefit Eligibility Specialist, Pharmacy Technician

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

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.

📋 Description

• Proactively grow the specialty pharmacy patient population by identifying patients that are eligible to fill with a Shields Partner Pharmacy. • Complete patient benefits investigations. • Protect Shields values by keeping information confidential. • Perform benefits investigation. • 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. • Identify trends, resolve problems; recommend improvements; implement change.

🎯 Requirements

• 0-1 years' experience as a Pharmacy Technician. • Required Licensure/Certification: Nationally certified from PTCB or equivalent is strongly preferred but not required. State license is required.

🏖️ Benefits

• Must have an active national pharmacy technician license. • Must be open to working an 8 hour shift assigned between 8:00am - 7:30pm Mountain Time.