
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.
🔥 0 minutes ago
🐊 Florida – Remote
💵 $20 - $23 / hour
⏰ Full Time
🟢 Junior
📞 Call Center Representative
🚫👨🎓 No degree required
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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.
• Proactively coordinate medication refills including data entry and pharmacy claim adjudication • Make outbound patient refill phone calls and complete the patient refill request • Answer, resolve and triage inbound inquiries • Clarify prescription orders with pharmacist and/or clinician as appropriate • Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medications • Manage, organize, and update relevant data using database applications • Apply observations and recommendations regarding operational issues, increased productivity, and quality standards • Identify trends and resolve problems by recommending improvements and implementing changes • Actively participate in process improvement initiatives • Act as a value-added business partner to stakeholders throughout the organization • Protect organization's value by maintaining confidential information • Update knowledge by participating in educational opportunities, reading professional publications, and maintaining networks • Ability to be flexible on shift times: typical shift times: 8:30AM to 5:00PM but can differ based on time zone and clinic operating hours (standard hours to be discussed at time of hire and overtime and weekend hours may be required as needed) • Other duties and/or responsibilities may apply
• 1-3 years of pharmacy technician experience adjudicating claims • Experience managing refills, working in a specialty pharmacy, working with clinical care teams, and working remotely strongly preferred but not required • High school diploma or GED required.
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