Prior Authorization Pharmacy Technician
S
Shields Health SolutionsSpecialty pharmacy
Location: Remote; Job Location: ['NY']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 a minimum of 1 year of Pharmacy Technician experience.
- Hold a high school diploma or GED.
- Be a state-registered and/or state-certified Pharmacy Technician where applicable.
- Hold national certification (CPhT or equivalent) if the candidate's state of residence does not offer pharmacy technician registration.
- National CPhT or equivalent certification is strongly preferred but not required when not otherwise required.
- Obtain additional required licensure within a mutually agreed-upon timeframe and maintain required licensure and certification.
- Have solid computer skills, including proficiency with Outlook, Teams, Word, Excel, and PowerPoint.
- Be able to navigate the internet and web-based platforms.
- Have customer service and patient communication 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.
- Assist patients with pharmacy insurance claims and coverage-related issues.
- Provide phone support to patients and help improve medication adherence and compliance.
- Maintain accurate records, protect confidential information, and comply with privacy requirements.
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