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Prior Authorization Technician - Pharmacy Technician - Remote

Posted 4 days ago
Customer Service
Full Time
Worldwide

Overview

As a Prior Authorization Technician at Shields Health Solutions, you will play a crucial role in providing patient care by removing barriers to medication access and ensuring that patients receive the medications they need.

In Short

  • Facilitate approval of medications through prior authorizations.
  • Communicate with insurance companies and clinician offices.
  • Provide phone support to patients regarding medication access.
  • Navigate pharmacy dispensing systems for claims and refills.
  • Document patient concerns and prior authorization status.
  • Assist patients with pharmacy insurance claims management.
  • Collaborate with pharmacists for quality patient care.
  • Research information for strategic decision-making.
  • Participate in process improvement initiatives.
  • Maintain confidentiality of patient information.

Requirements

  • State registered or certified pharmacy technician.
  • 1+ years of experience as a Pharmacy Technician.
  • High school diploma or GED required.
  • National certification as a CPhT preferred.
  • Commitment to obtaining required licensure if necessary.
  • Strong communication skills.
  • Ability to manage and organize data effectively.
  • Willingness to participate in educational opportunities.
  • Minimal travel may be required.
  • Ability to work collaboratively with healthcare professionals.

Benefits

  • Inclusive and supportive workplace culture.
  • Opportunities for professional growth.
  • Comprehensive solutions for specialty pharmacy.
  • Focus on improving patient health outcomes.
  • Recognition as a top workplace in healthcare.
  • Commitment to employee development.
  • Engagement in meaningful work impacting patients' lives.
  • Collaboration with leading health systems.
  • Access to educational resources and networks.
  • Employee support programs.

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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