Job Description
💊 Pharmacy Technician - Prior Authorization & Patient Support Specialist
Make a Meaningful Impact on Patient Care
Are you an experienced Pharmacy Technician who is passionate about helping patients access the medications they need? In this role, you’ll serve as a critical resource for patients, providers, pharmacies, and insurance companies by helping remove barriers to treatment, facilitating medication approvals, securing financial assistance, and supporting medication adherence.
If you enjoy problem-solving, patient advocacy, insurance navigation, and working in a collaborative healthcare environment, we’d love to hear from you.
🌟 What You’ll Do
Patient Access & Insurance Support
✅ Communicate directly with insurance companies to facilitate medication approvals.
✅ Assist patients with managing their pharmacy insurance claims.
✅ Work with clinician offices to support prior authorization requests and medication access.
✅ Research and secure financial assistance opportunities through foundations, manufacturers, and other funding sources to help patients overcome high-cost copay barriers.
Pharmacy Operations & Patient Care
✅ Navigate pharmacy operating systems to input data, adjudicate test claims, process refills, and develop action plans for follow-up.
✅ Review prescriptions with physicians’ offices to support optimal patient care.
✅ Communicate directly with patients via phone to support medication adherence and compliance.
✅ Collaborate closely with pharmacists and pharmacy liaisons to deliver a coordinated, high-quality patient care experience.
Documentation & Process Improvement
✅ Communicate effectively across databases, electronic medical records, and email systems to document patient concerns, prior authorization status, and financial assistance needs.
✅ Maintain complete and accurate records of patient communications.
✅ Manage, organize, and update relevant data within database systems.
✅ Research and analyze information to support strategic decision-making.
✅ Apply observations and recommendations to improve operations, productivity, quality, and customer service standards.
✅ Identify trends, resolve issues, recommend improvements, and implement changes.
✅ Participate actively in process improvement initiatives.
✅ Act as a value-added business partner to stakeholders across the organization.
✅ Protect organizational value by maintaining confidentiality of information.
✅ Maintain professional knowledge through educational opportunities, professional publications, and industry networking.
✅ Minimal in-state or out-of-state travel may be required.
✅ Perform other duties as assigned.
🎓 Qualifications
Required Experience
- 1+ year of experience as a Pharmacy Technician
- High School Diploma or GED required
Required Licensure & Certification
We are seeking experienced, state-registered Pharmacy Technicians.
- State of Rhode Island Pharmacy Technician active license.
- PTCB or NHA national certification.
- If additional licensure is required, the successful candidate will commit to obtaining the required credential(s) within a mutually agreed-upon timeframe.
- Continued employment is contingent upon meeting all applicable licensure and certification requirements.
🔍 Ideal Skills & Keywords
Prior Authorization • Pharmacy Technician • Patient Assistance Programs • Medication Access • Insurance Verification • Pharmacy Operations • Specialty Pharmacy • Patient Advocacy • Medication Adherence • Financial Assistance Programs • Copay Assistance • Claims Adjudication • Healthcare Support • Pharmacy Benefits • EMR Documentation • Patient Care Coordination
❤️ Why This Role Matters
Every day, you’ll help patients overcome barriers to treatment, navigate complex insurance requirements, access financial assistance, and stay on track with their medications. Your work will directly contribute to better patient outcomes and a higher quality healthcare experience.
Join a team that’s committed to making medication access easier and improving lives one patient at a time.
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Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.
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.
Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email [email protected].
