Prior Authorization Certified Pharmacy Technician
S
Shields Health SolutionsSpecialty Pharmacy
Location: Remote; Job Location: ['MA']Full-TimeMiddle
Salary19.45 - 22.21 USD per hour
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Job Details
- Experience
- 1+ year of Pharmacy Technician experience
- Required Skills
- Microsoft OfficeData entry
Requirements
- Minimum 1+ year of Pharmacy Technician experience.
- High School Diploma or GED.
- National certification (CPhT or equivalent) is required.
- State registration or certification as a Pharmacy Technician, where applicable.
- Proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, PowerPoint).
- Ability to navigate internet and web-based platforms.
- Experience with pharmacy insurance, prior authorizations, and financial assistance processes.
- Strong organizational skills and ability to manage multiple technology platforms.
- Must be able to successfully complete a pre-employment data entry and computer skills assessment.
- Minimal in-state or out-of-state travel may be required.
Responsibilities
- Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
- Navigate pharmacy operating systems to enter data, adjudicate test claims, and develop follow-up action plans.
- Document patient concerns, prior authorization status, and financial assistance needs across multiple databases, electronic medical records (EMRs), and email platforms.
- Collaborate with physicians' offices to ensure patients receive optimal care and access to prescribed therapies.
- Maintain complete and accurate records of all patient communications and case activity.
- Assist patients with pharmacy insurance claims and medication access challenges.
- Provide compassionate phone support to patients regarding refills, medication adherence, and pharmacy-related questions.
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