Prior Authorization Technician
New
S
Shields Health SolutionsPharmacy Services
Location: remoteFull-TimeEntry
Salary not disclosed
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Job Details
- Experience
- 1+ years as a Pharmacy Technician
- Required Skills
- Microsoft OfficeData entry
Requirements
- 1+ years of experience as a Pharmacy Technician.
- High school diploma or GED.
- Active Florida Pharmacy Technician license.
- Proficiency in Microsoft Office (Outlook, Teams, Word, Excel, PowerPoint).
- Experience navigating the internet and web-based platforms.
- Must be capable of passing a data entry and computer skills assessment.
- Candidates in states without registration requirements must obtain a state license within 6 months and be PTCB or NHA certified at time of hire.
- Candidates in other states must obtain PTCB or NHA certification within 9 months of employment.
Responsibilities
- Communicate directly with insurance companies to facilitate medication approvals.
- Navigate pharmacy operating systems to input data, adjudicate test claims, and develop action plans for follow-up.
- Document patient concerns, prior authorization status, and financial assistance needs across medical records and databases.
- Review prescriptions with physicians’ offices to ensure optimal patient care.
- Maintain accurate records of patient communications.
- Assist patients with managing their pharmacy insurance claims.
- Collaborate with pharmacists and pharmacy liaisons to provide high-quality patient care.
- Communicate with patients via phone to support medication adherence and compliance.
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