Prior Authorization Pharmacy Technician - Rhode Island Pharmacy License

The role

You will facilitate medication approvals through prior authorizations and help patients access financial assistance. You will also navigate pharmacy operating systems, coordinate with physicians, and provide phone support to patients.

What you will do

• Communicate with insurance companies to facilitate medication approvals through prior authorizations.
• Help patients access financial assistance through foundations and manufacturer programs.
• Navigate pharmacy operating systems to enter data, adjudicate claims, and process refills.
• Document patient concerns and prior authorization status across databases and electronic medical records.
• Collaborate with physicians' offices to ensure timely medication therapy.
• Maintain accurate records of patient communications and case activity.
• Assist patients in managing pharmacy insurance claims and resolving coverage issues.
• Partner with pharmacists and pharmacy liaisons to deliver patient care.
• Provide phone support to patients to improve medication adherence.
• Research and analyze information to support decision-making.

Required qualifications

• Minimum 1 year of Pharmacy Technician experience
• Strong customer service and patient communication skills
• High School Diploma or GED
• Rhode Island State Registered and/or State Certified Pharmacy Technician
• Solid computer skills including Microsoft Office tools
• Proficiency in navigating the internet and web-based platforms

Nice to have

• Experience working with insurance claims, medication access, prior authorizations, or pharmacy operations
• National certification (CPhT or equivalent)

Before you apply

• If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire.
• Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

About the company

Shields Health Solutions is committed to pay transparency and equal employment opportunities.