Pharmacy Technician - Prior Authorization & Patient Support Specialist
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Job Description
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Are you an experienced Pharmacy Technician who is passionate about helping patients access the medications they need? In this role, you’ll serve as a critical resource for patients, providers, pharmacies, and insurance companies by helping remove barriers to treatment, facilitating medication approvals, securing financial assistance, and supporting medication adherence.
If you enjoy problem-solving, patient advocacy, insurance navigation, and working in a collaborative healthcare environment, we’d love to hear from you.
🌟 What You’ll Do
Patient Access & Insurance Support
âś… Communicate directly with insurance companies to facilitate medication approvals.
âś… Assist patients with managing their pharmacy insurance claims.
âś… Work with clinician offices to support prior authorization requests and medication access.
âś… Research and secure financial assistance opportunities through foundations, manufacturers, and other funding sources to help patients overcome high-cost copay barriers.
Pharmacy Operations & Patient Care
âś… Navigate pharmacy operating systems to input data, adjudicate test claims, process refills, and develop action plans for follow-up.
✅ Review prescriptions with physicians’ offices to support optimal patient care.
âś… Communicate directly with patients via phone to support medication adherence and compliance.
âś… Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience.
Documentation & Process Improvement
âś… Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs.
âś… Maintain complete and accurate records of patient communications.
âś… Manage, organize, and update relevant data within database systems.
âś… Research and analyze information to support strategic decision-making.
âś… Apply observations and recommendations to improve operations, productivity, quality, and customer service standards.
âś… Identify trends, resolve issues, recommend improvements, and implement changes.
âś… Participate actively in process improvement initiatives.
âś… Act as a value-added business partner to stakeholders across the organization.
âś… Protect organizational value by maintaining confidentiality of information.
âś… Maintain professional knowledge through educational opportunities, professional publications, and industry networking.
âś… Minimal in-state or out-of-state travel may be required.
âś… Perform other duties as assigned.
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Shields Health Solutions
View Company ProfileShields Health Solutions is a leading healthcare technology company that provides innovative solutions to improve patient care and outcomes. With a strong focus on digital transformation, the company empowers healthcare providers to streamline their operations, reduce costs, and enhance the overall quality of care. Shields Health Solutions offers a range of services, including healthcare IT consulting, medical billing, and revenue cycle management. The company's expertise spans multiple areas, including electronic health records (EHRs), practice management systems, and population health management. By leveraging cutting-edge technology and best practices, Shields Health Solutions enables healthcare organizations to achieve their goals, improve patient satisfaction, and stay ahead of the competition. With a commitment to excellence and a passion for innovation, the company is dedicated to making a positive impact on the healthcare industry.
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