Patient Access & Prior Authorization Specialist

Shields Health Solutions; Hartford (CT); On-site; USD 42,000 - 46,000; Full time

Job summary

Shields Health Solutions in Connecticut is seeking a Patient Support Advocate with Pharmacy Technician experience to help patients access medications, navigate insurance and financial assistance, and support adherence.

The role combines advocacy, prior authorization support, and pharmacy operations, with opportunities to collaborate with physicians, case managers, and pharmacists while ensuring privacy and accurate record keeping.

Qualifications

• 1 year of Pharmacy Technician experience.
• Connecticut state registration or certification where applicable.
• National certification (CPhT or equivalent) preferred but not required.

Responsibilities

• Facilitate prior authorizations with insurers.
• Assist with financial assistance programs and patient benefits.
• Navigate pharmacy systems; enter data, adjudicate claims, process refills.
• Document patient interactions and status updates across databases and EMR.
• Collaborate with physicians' offices to ensure timely therapy.
• Maintain complete records of patient communications and case activity.
• Assist patients with insurance claims and coverage issues.
• Support pharmacists and liaisons to deliver coordinated care.
• Provide phone support to patients to improve adherence.
• Research and analyze information to support decision-making.
• Manage data within various database applications.

Skills

Pharmacy Technician experience

Customer service

Insurance claims

Prior authorizations

Pharmacy operations

Data entry

Communication skills

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Shields Health Solutions in Connecticut is seeking a Patient Support Advocate with Pharmacy Technician experience to help patients access medications, navigate insurance and financial assistance, and support adherence.

The role combines advocacy, prior authorization support, and pharmacy operations, with opportunities to collaborate with physicians, case managers, and pharmacists while ensuring privacy and accurate record keeping.