Prior Authorization Pharmacy Technician

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Shields Health SolutionsSpecialty pharmacy
Location: Remote; Job Location: ['NH']Full-TimeJunior
Salary20 - 22 USD per hour
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Job Details

Experience
Minimum 1 year of Pharmacy Technician experience
Required Skills
Microsoft OfficeData entry

Requirements

  • Have at least 1 year of Pharmacy Technician experience.
  • Hold a high school diploma or GED.
  • Be New Hampshire State Registered and/or State Certified as a Pharmacy Technician where applicable.
  • CPhT or equivalent national certification is strongly preferred but not required.
  • Hold national certification at hire if your state of residence does not offer pharmacy technician registration.
  • Obtain any additional required licensure within a mutually agreed-upon timeframe and maintain required licensure and certification.
  • Have strong customer service and patient communication skills.
  • Experience with insurance claims, medication access, prior authorizations, or pharmacy operations is preferred.
  • Have solid computer skills, including Microsoft Outlook, Teams, Word, Excel, and PowerPoint, and the ability to navigate internet and web-based platforms.
  • Complete a pre-employment assessment of data entry and computer skills.

Responsibilities

  • Communicate with insurance companies to facilitate medication approvals through prior authorizations.
  • Help patients access financial assistance through foundations, manufacturer programs, and other funding resources.
  • Use pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans.
  • Document patient concerns, prior authorization updates, and financial assistance needs across databases, electronic medical records, and email systems.
  • Collaborate with physicians' offices to support timely and appropriate medication therapy.
  • Maintain accurate records of patient communications and case activity, and help resolve pharmacy insurance coverage issues.
  • Partner with pharmacists and pharmacy liaisons to coordinate patient care, provide phone support, and support medication adherence.
  • Research and analyze information, manage data in database applications, and recommend process improvements.
  • Protect confidential information and maintain compliance with privacy requirements.
  • Travel occasionally as business needs require.
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20 - 22 USD per hour
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