Pharmacy Technician (Prior Authorizations)

 Posted a day ago
  
 Worldwide
  
2-5 years experience
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AI Summary

Coordinate prior authorizations and resolve insurance barriers to ensure patient access to specialty medications. Communicate with prescribers and patients while maintaining detailed records in pharmacy systems and EMRs.

Join our Shields team today!

Shields Health Solutions is redefining patient care through specialty pharmacy. We’re hiring a Prior Authorization Pharmacy Technician - Patient Support Advocate to support the growth of the specialty pharmacy program. This role supports patient access to medications by coordinating prior authorizations, securing financial assistance, and resolving insurance barriers. It includes patient communication, claim adjudication, and promoting medication adherence through pharmacy system support.

 

What You’ll Do:

  • Work with insurance companies to obtain medication approvals.
  • Use pharmacy systems to enter data, run test claims, and manage follow-up actions.
  • Document patient needs, authorization status, and assistance efforts across systems and EMRs.
  • Communicate with prescribers to ensure accurate and appropriate prescriptions.
  • Maintain detailed records of all patient interactions.
  • Assist patients with insurance claims and medication adherence over the phone.
  • Partner with pharmacists and liaisons to support coordinated patient care.
  • Research information to support decisions and operational improvements.
  • Manage and update data in relevant databases.
  • Identify issues, recommend solutions, and participate in process improvement initiatives.
  • Maintain confidentiality and ongoing professional development.
  • Perform additional duties as needed; minimal travel may be required.

 

What You’ll Get:

  • Medical, dental, and vision insurance starting day one
  • 401(k) with match, 4 weeks PTO, 10 paid holidays
  • Paid parental leave, short-term disability, and professional development
  • Access to employee resource groups and wellness programs

 

What You Need:

  • State-registered (South Carolina) Pharmacy Technician; CPhT preferred.
  • 2+ years of experience as a pharmacy technician; High School Diploma or GED
  • Strong communication, organization, and tech skills
  • Empathy, integrity, and a team-first mindset

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.  

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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