Pharmacy Technician – Prior Authorizations

🔥 0 minutes ago

🗻 New Hampshire – Remote

🗻 New Hampshire – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

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

• Facilitate medication approvals by communicating with insurance companies and healthcare providers regarding prior authorizations • Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and develop follow-up action plans • Document patient concerns, prior authorization status, and financial assistance needs in databases, electronic medical records, and email systems • Review prescriptions with physicians' offices to support optimal patient care • Maintain accurate records of patient interactions and communications • Assist patients with pharmacy insurance claims and medication access challenges • Collaborate with pharmacists, pharmacy liaisons, and cross-functional teams • Provide phone support while promoting medication adherence and compliance • Research and analyze information for operational and strategic decision-making • Manage, organize, and maintain data in pharmacy and database systems • Identify trends, resolve issues, recommend improvements, and participate in process improvement initiatives • Serve as a trusted partner to organizational stakeholders • Protect patient and organizational information through strict confidentiality practices • Maintain professional knowledge through continuing education and professional development • Perform minimal in-state or out-of-state travel when required • Perform other duties as assigned

🎯 Requirements

• Active New Hampshire Pharmacy Technician License required at the time of hire • Ability to acquire National Pharmacy Technician Certification within 9 months if not already certified • High School Diploma or GED • At least 1 year of Pharmacy Technician experience • Strong familiarity with test claims, adjudication, prior authorization, and appeals processes • Strong communication, documentation, organizational, and customer service skills • Ability to work independently in a fully remote environment • National Pharmacy Technician Certification (PTCB or NHA) preferred • Solid computer skills, including Microsoft Office: Outlook, Teams, Word, Excel, and PowerPoint • Ability to navigate the internet and web-based platforms • Data entry and computer skills assessed during pre-employment • Minimal in-state or out-of-state travel may be required

🏖️ Benefits

• Meaningful work supporting patient access to life-changing medications • Collaborative healthcare team environment • Opportunities for professional growth and certification development • Patient-focused culture dedicated to quality care and service excellence • Continuing education and professional development opportunities • 100% remote position