先决授权药房技术员
Prior Authorization Pharmacy Technician
工作时间:全职,周一至周五。在繁忙或节假日期间可能需要偶尔轮班加班。
职位目的:
在此职位中,个人将通过消除药物获取障碍来支持患者护理。这包括与保险公司和临床医生办公室合作,通过事先授权促进药物审批,以及与患者和各种资金来源(如基金会或制药公司)合作,为高成本的自付费用获得财务援助。该职位还包括为患者提供电话支持,使用药房发药系统处理索赔,处理处方续方,并促进药物依从性。
职位职责:
- 直接与保险公司沟通以促进药物审批。
- 操作药房系统输入数据、处理测试索赔并制定后续行动计划。
- 在数据库、电子病历和电子邮件系统之间有效沟通,记录患者问题、事先授权状态和财务援助需求。
- 与医生办公室核对处方以确保最佳患者护理。
- 保持完整的患者沟通记录。
- 协助患者管理他们的药房保险索赔。
- 与药师和药房联络员紧密合作,提供协调一致的高质量患者护理体验。
- 通过电话直接与患者沟通,支持药物依从性和合规性。
- 研究和分析信息以支持战略决策。
- 管理、组织和更新数据库系统中的相关数据。
- 将观察结果和建议应用于改进运营、生产率、质量和客户服务标准。
- 识别趋势,解决问题,提出改进建议并实施变更。
- 积极参与流程改进计划。
- 作为增值业务伙伴与组织内各利益相关者合作。
- 通过保持信息的机密性来保护组织价值。
- 通过参加教育机会、阅读专业出版物以及参与专业网络和组织来保持专业知识。
- 可能需要少量本州或跨州的出差。
- 完成其他指派的工作。
薪酬:
此全职小时制职位的薪酬范围为每小时20.00至22.00美元。此外,团队
查看英文原文
💊 Patient Support Advocate - Licensed Pharmacy Technician
Help Patients Access the Medications They Need
Are you an experienced Pharmacy Technician who is passionate about helping patients overcome barriers to care? Join our team as a Patient Support Advocate, where you'll play a critical role in improving medication access, supporting adherence, and guiding patients through insurance and financial assistance challenges.
This position combines patient advocacy, prior authorization support, insurance navigation, financial assistance coordination, and pharmacy operations, making a direct impact on patient outcomes every day.
🌟 What You'll Do
As a Patient Support Advocate, you will:
✅ Communicate directly with insurance companies to facilitate medication approvals through prior authorizations.
✅ Help patients access financial assistance through foundations, manufacturer programs, and other funding resources to reduce high-cost medication burdens.
✅ Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans.
✅ Document patient concerns, prior authorization status updates, and financial assistance needs across databases, electronic medical records, and email systems.
✅ Collaborate with physicians' offices to ensure patients receive timely and appropriate medication therapy.
✅ Maintain complete and accurate records of patient communications and case activity.
✅ Assist patients in managing pharmacy insurance claims and resolving coverage-related issues.
✅ Partner closely with pharmacists and pharmacy liaisons to deliver coordinated, high-quality patient care.
✅ Provide phone support to patients and help improve medication adherence and compliance.
✅ Research, investigate, and analyze information to support decision-making and problem resolution.
✅ Manage, organize, and maintain data within various database applications.
✅ Identify trends, recommend process improvements, and contribute to operational excellence initiatives.
✅ Serve as a trusted business partner to stakeholders throughout the organization.
✅ Protect confidential information and maintain compliance with all privacy requirements.
✅ Remain current on industry knowledge through continuing education, professional publications, and networking opportunities.
✅ Travel occasionally, as business needs require.
✅ Perform other duties as assigned.
🎯 What We're Looking For
Required Experience
- Minimum 1 year of Pharmacy Technician experience
- Strong customer service and patient communication skills
- Experience working with insurance claims, medication access, prior authorizations, or pharmacy operations preferred
Education
- High School Diploma or GED required
Licensure & Certification
We are seeking experienced Pharmacy Technicians who are:
✔ State Registered and/or State Certified Pharmacy Technicians (where applicable)
✔ National certification (CPhT or equivalent) is strongly preferred but not required
Important: If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire.
Should additional licensure be required, the candidate must obtain the necessary credentials within a mutually agreed-upon timeframe. Continued employment is contingent upon maintaining required licensure and certification requirements.
❤️ Why This Role Matters
Every day, you'll help patients navigate complex insurance requirements, secure financial assistance, and gain access to life-changing medications. Your work will directly support better health outcomes while delivering an exceptional patient experience.
💰 Compensation & Benefits
At Shields Health Solutions, we are committed to pay transparency and equal employment opportunities.
Hourly Pay Range:$20.00 - $22.00 per hour
Actual compensation may vary based on several factors, including:
- Geographic location
- Relevant experience
- Education
- Skills and abilities
- Certifications and licensure
- Other job-related qualifications
Keywords
Pharmacy Technician • Certified Pharmacy Technician (CPhT) • Patient Support Advocate • Prior Authorization Specialist • Medication Access • Specialty Pharmacy • Patient Assistance Programs • Insurance Verification • Claims Adjudication • Financial Assistance • Pharmacy Operations • Healthcare Support • Medication Adherence • Patient Advocacy
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.
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 .
Originally posted on Himalayas