Pharmacy Eligibility Specialist - Outreach & Benefits

Shields Health Solutions; Baton Rouge (LA); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical benefits from day one

401(k) with match

PTO 4 weeks

10 paid holidays

Parental leave

Short-term disability

Professional development

ERGs and wellness programs

Job summary

Shields Health Solutions is seeking a Pharmacy Technician - Outreach Eligibility Specialist to support the growth of the specialty pharmacy program by identifying eligible patients, completing benefits investigations, and preserving confidentiality.

The role focuses on conducting benefits investigations, reviewing medical records, documenting findings, and collaborating with the team to ensure high-quality patient care and ongoing process improvements.

Qualifications

• 1+ years of experience as a pharmacy technician; HS diploma or GED.

Responsibilities

• Conduct benefits investigations using approved tools and pharmacy systems.
• Review medical records to confirm current medication needs.
• Document all findings clearly and accurately.
• Partner with team members to ensure high-quality, coordinated patient care.
• Identify trends, solve problems, and contribute to process improvements.
• Maintain professionalism, confidentiality, and ongoing job knowledge.
• Perform other duties as needed.

Skills

Strong communication

Organization

Tech skills

Empathy

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Shields Health Solutions is seeking a Pharmacy Technician - Outreach Eligibility Specialist to support the growth of the specialty pharmacy program by identifying eligible patients, completing benefits investigations, and preserving confidentiality.

The role focuses on conducting benefits investigations, reviewing medical records, documenting findings, and collaborating with the team to ensure high-quality patient care and ongoing process improvements.