Prior Authorization Technician - Stoughton, United States - Shields Health Solutions

Shields Health Solutions
Shields Health Solutions
Verified Company
Stoughton, United States

1 week ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

At Shields, we pride ourselves on our culture of inclusion and kindness and the difference we make in patients' lives every day.

We are tremendously proud to be certified as a 'Great Place to Work' four years in a row.

In 2022, we were awarded US Fortune Best Workplaces in Health Care, Fortune Best Workplaces for Millennials & Fortune Best Workplaces for Women.

Improving lives and elevating performance are at the heart of everything we do.

That's why more health system leaders trust Shields to elevate access, outcomes and growth within specialty pharmacy — delivering value throughout the entire health system.

Leveraging our proven Shields Performance Platform - we deliver the financial results that health systems demand and the superior outcomes patients deserve.

With the foremost leaders in specialty pharmacy on our team; proven success partnering with more than 70 health systems; and a vested interest in delivering measurable results - we are the partner health systems trust to transform their specialty pharmacy into a powerful growth engine and elevate performance where it matters most.


Patient Support Advocate

Job Purpose:

Within this role, this person will provide patient care by removing the barriers to medication access. Working with insurance companies and clinician offices to facilitate approval of medications through prior authorizations.

Working with patients and a variety of funding sources such as foundations, or directly through manufactures to obtain financial assistance for high dollar co-pays.

Provide phone support to patients by navigating a variety of pharmacy dispensing systems to adjudicate claims, refill medications, and increase adherence in patients.


Job Duties:


  • Directly communicate with insurance companies to facilitate the approval of medications.
  • Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for followup.
  • Review prescriptions with doctors' offices to ensure optimal care of the patient.
  • Keep complete and accurate records of patient communications.
  • Assist patients in the management of their pharmacy insurance claims.
  • Work closely with pharmacists and pharmacy liaisons to provide an integrated approach quality patient care.
  • Communicate directly with patients over the phone to assist them in all aspects of medication compliance.
  • Research and investigate information to enable strategic decisionmaking by others.
  • Identify trends, resolve problems; recommend improvements; implement change.
  • Actively participate in process improvement initiatives.
  • Act as a valueadded business partner to stakeholders throughout the organization.
  • Protect organization's value by keeping information confidential.
  • Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
  • Minimal in or out of state travel may be required.
  • Perform other duties as assigned.

Experience/ Education:


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.

Years of Experience:
Required 1+ years as a Pharmacy Technician

Education:
High school diploma or GED required


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.

More jobs from Shields Health Solutions
See all jobs of Shields Health Solutions