Prior Authorization Technician - Pharmacy Technician

GlobalRemote

Responsibilities

Review prescriptions with doctors' offices to ensure optimal care of the patient.
Research and investigate information to enable strategic decision-making by others.
Manage, organize, and update relevant data using database applications.
Identify trends, resolve problems; recommend improvements; implement change.
Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
Perform other duties as assigned.

Required Licensure/Certification : We are seeking experienced pharmacy technicians who are state registered, or state certified as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required.
*If the candidate's state of residence does not have a state registration available, then the National certification is required at time of hire. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe.
Education : High school diploma or GED required

Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations.
Directly communicate with insurance companies to facilitate the approval of medications.
Assist patients in the management of their pharmacy insurance claims.
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.