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Outreach Eligibility Specialist - Remote

Posted 20 hours ago
Customer Service
Full Time
Worldwide

Overview

The Outreach Eligibility Specialist is responsible for growing the specialty pharmacy patient population by identifying eligible patients, conducting benefits investigations, and ensuring confidentiality of sensitive information.

In Short

  • Grow the specialty pharmacy patient population.
  • Conduct patient benefits investigations.
  • Maintain confidentiality of sensitive information.
  • Utilize approved tools for insurance coverage identification.
  • Research patients' medical records.
  • Document outcomes in a clear manner.
  • Collaborate with team members for quality patient care.
  • Participate in process improvement initiatives.
  • Act as a business partner to stakeholders.
  • Commit to obtaining required licensure if necessary.

Requirements

  • Strong computer skills.
  • Ability to navigate EMR and PDS.
  • Organized, self-motivated, and detail-oriented.
  • Great interpersonal skills and high integrity.
  • Team player with a willingness to contribute.
  • Discretion and confidentiality are essential.
  • 0-1 years' experience as a Pharmacy Technician.
  • High school diploma or GED required.
  • National certification preferred but not required.
  • State license preferred but not required.

Benefits

  • Equal employment opportunities.
  • Support for professional development.
  • Opportunities for career growth.
  • Collaborative work environment.
  • Commitment to employee well-being.

S.H.S

Shields Health Solutions

Shields Health Solutions is a leading specialty pharmacy integrator and accelerator, dedicated to improving the lives of chronically ill patients through innovative and comprehensive care. With a strong culture of inclusion and kindness, Shields has been recognized as a 'Great Place to Work' for four consecutive years and has received accolades from Fortune for being one of the best workplaces in healthcare, for millennials, and for women. The company partners with over 70 health systems to enhance access, outcomes, and growth in specialty pharmacy, utilizing its proprietary Shields Performance Platform and a unique Patient Liaison model. As one of the fastest-growing healthcare companies in the nation, Shields is committed to delivering measurable results and transforming specialty pharmacy into a powerful growth engine for health systems.

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