Prior Authorization Technician – Pharmacy Technician

🔥 7 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ 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

• Support patient care by removing barriers to medication access • Work with insurance companies and clinician offices to facilitate medication approvals through prior authorizations • Collaborate with patients and funding sources, including foundations and pharmaceutical manufacturers, to obtain financial assistance for high-cost copays • Provide phone support to patients • Navigate pharmacy dispensing systems to adjudicate claims and process refills • Promote medication adherence • Communicate directly with insurance companies to facilitate medication approvals • Navigate pharmacy operating systems to input data, adjudicate test claims, and develop follow-up action plans • Document patient concerns, prior authorization status, and financial assistance needs across databases, electronic medical records, and email systems • Review prescriptions with physicians’ offices • Maintain complete and accurate records of patient communications • Assist patients with managing pharmacy insurance claims • Collaborate with pharmacists and pharmacy liaisons to deliver coordinated patient care • Research and analyze information to support strategic decision-making • Manage, organize, and update data within database systems • Improve operations, productivity, quality, and customer service standards • Identify trends, resolve issues, recommend improvements, and implement changes • Participate in process improvement initiatives • Act as a value-added business partner to organizational stakeholders • Maintain confidentiality of information • Perform other duties as assigned

🎯 Requirements

• Experienced, state-registered pharmacy technician • Pharmacy technician license required for Florida, as stated in the job title • If residing in a state without registration requirements (Delaware, Hawaii, or New York), agree to obtain a state license within 6 months of employment • National certification (PTCB or NHA) required at hire for candidates in states without registration requirements • PTCB or NHA highly preferred but not required in other cases; must be obtained within 9 months of employment • Additional required licensure must be obtained within a mutually agreed-upon timeframe • Continued employment is contingent upon meeting licensure and certification requirements • At least 1 year of experience as a Pharmacy Technician • High school diploma or GED required • Solid computer skills • Proficiency in Microsoft Office tools, including Outlook, Teams, Word, Excel, and PowerPoint • Ability to navigate the internet and web-based platforms • Data entry and computer skills evaluated through a pre-employment assessment

🏖️ Benefits

• Minimal in-state or out-of-state travel may be required • Educational opportunities, professional publications, and professional networks and organizations • Inclusive hiring experience and assistance or accommodation during the application or interview process • Equal employment opportunities and protection from discrimination and harassment