Prior Authorization Pharmacy Technician – Rhode Island Pharmacy License

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🔥 2 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• Communicate directly with insurance companies to facilitate medication approvals through prior authorizations • Help patients access financial assistance through foundations, manufacturer programs, and other funding resources • Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans • Document patient concerns, prior authorization status updates, and financial assistance needs across databases, electronic medical records, and email systems • Collaborate with physicians' offices to ensure timely and appropriate medication therapy • Maintain complete and accurate records of patient communications and case activity • Assist patients with pharmacy insurance claims and coverage-related issues • Partner with pharmacists and pharmacy liaisons to deliver coordinated patient care • Provide phone support and help improve medication adherence and compliance • Research, investigate, and analyze information for decision-making and problem resolution • Manage, organize, and maintain data within database applications • Identify trends, recommend process improvements, and contribute to operational excellence initiatives • Serve as a trusted business partner to organizational stakeholders • Protect confidential information and maintain privacy compliance • Remain current through continuing education, professional publications, and networking • Travel occasionally as business needs require • Perform other duties as assigned

🎯 Requirements

• Minimum 1 year of Pharmacy Technician experience • Strong customer service and patient communication skills • Experience working with insurance claims, medication access, prior authorizations, or pharmacy operations preferred • High School Diploma or GED required • Rhode Island State Registered and/or State Certified Pharmacy Technician, where applicable • National certification (CPhT or equivalent) strongly preferred but not required • If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire • Must obtain additional required credentials within a mutually agreed-upon timeframe, if applicable • Continued employment contingent upon maintaining required licensure and certification requirements • Solid computer skills • Proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) • Ability to navigate the internet and web-based platforms • Data entry and computer skills will be evaluated through a pre-employment assessment

🏖️ Benefits

• Equal employment opportunities • Inclusive hiring experience • Application/interview assistance or accommodation available • Continuing education, professional publications, and networking opportunities • Occasional travel as business needs require