Prior Authorization Pharmacy Technician, Connecticut License
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Job Description
Patient Support Advocate supporting prior authorizations, insurance navigation, and financial assistance for specialty medications. Helping patients improve medication access and adherence at Shields Health Solutions.
Responsibilities:
- Communicate with insurance companies to facilitate medication approvals through prior authorizations
- Help patients access financial assistance through foundations, manufacturer programs, and other funding resources
- Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans
- Document patient concerns, prior authorization updates, and financial assistance needs across databases, electronic medical records, and email systems
- Collaborate with physicians' offices to ensure timely and appropriate medication therapy
- Maintain complete and accurate records of patient communications and case activity
- Assist patients with pharmacy insurance claims and coverage-related issues
- Partner with pharmacists and pharmacy liaisons to deliver coordinated patient care
- Provide phone support to improve medication adherence and compliance
- Research, investigate, and analyze information for decision-making and problem resolution
- Manage, organize, and maintain data in database applications
- Identify trends, recommend process improvements, and contribute to operational excellence initiatives
- Serve as a business partner to organizational stakeholders
- Protect confidential information and maintain privacy compliance
- Remain current through continuing education, professional publications, and networking
- Travel occasionally as required
- Perform other duties as assigned
Requirements:
- Minimum 1 year of Pharmacy Technician experience
- Strong customer service and patient communication skills
- Experience with insurance claims, medication access, prior authorizations, or pharmacy operations preferred
- High School Diploma or GED required
- Connecticut State Registered and/or State Certified Pharmacy Technician, where applicable
- National certification (CPhT or equivalent) strongly preferred but not required
- If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire
- Required credentials must be maintained for continued employment
- Solid computer skills required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint)
- Ability to navigate the internet and web-based platforms
- Data entry and computer skills evaluated through a pre-employment assessment
- Ability to protect confidential information and comply with privacy requirements
- Occasional travel as business needs require
Benefits:
- Hourly pay range of $20.00–$22.00 per hour
- Equal employment opportunities
- Inclusive hiring experience
- Application and interview accommodations available
- Continuing education, professional publications, and networking opportunities
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