Prior Authorization Pharmacy Technician
S
Shields Health SolutionsHealthcare
United StatesFull-TimeMiddle
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.
- Current state registered pharmacy technician license.
- National certification (PTCB or NHA) required at time of hire for residents of Delaware, Hawaii, or New York; preferred for others.
- Commitment to obtain required state licensure within 6 months (for those in non-registering states) or within a mutually agreed upon timeframe.
- Solid computer skills with proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint).
- Ability to navigate internet and web-based platforms.
- Ability to pass a pre-employment data entry and computer skills assessment.
- Occasional weekend availability as needed.
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 databases and electronic medical records.
- Review prescriptions with physicians’ offices to ensure optimal patient care.
- Assist patients with managing their pharmacy insurance claims and support medication adherence via phone.
- Collaborate with pharmacists and pharmacy liaisons to provide a coordinated patient care experience.
- Manage, organize, and update relevant data within database systems.
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