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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