Pharmacy Technician Prior Authorizations New

Shields Health Solutions

Northern (KY)

Hybrid

USD 52,000 - 72,000

Full time

32 hours ago
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Benefits offered by this job

Insurance starting day one
401(k) with match
4 weeks PTO
10 holidays
Parental leave
Short-term disability
Professional development
Employee resource groups
Wellness programs

Job summary

Shields Health Solutions is seeking a Prior Authorization Pharmacy Technician - Patient Support Advocate to support the specialty pharmacy program. This remote role coordinates prior authorizations, assists patients with access to medications, and works with insurers to secure approvals.

You'll use pharmacy systems, communicate with prescribers, and maintain detailed records while promoting medication adherence. This remote role offers benefits and a path for professional development.

Qualifications

  • 2+ years of experience as a pharmacy technician; High School Diploma or GED
  • Strong communication, organization, and tech skills
  • Empathy, integrity, and a team-first mindset

Responsibilities

  • Work with insurance companies to obtain medication approvals.
  • Use pharmacy systems to enter data, run test claims, and manage follow-up actions.
  • Document patient needs, authorization status, and assistance efforts across systems and EMRs.
  • Communicate with prescribers to ensure accurate and appropriate prescriptions.
  • Maintain detailed records of all patient interactions.
  • Assist patients with insurance claims and medication adherence over the phone.
  • Partner with pharmacists and liaisons to support coordinated patient care.
  • Research information to support decisions and operational improvements.
  • Manage and update data in relevant databases.
  • Identify issues, recommend solutions, and participate in process improvement initiatives.
  • Maintain confidentiality and ongoing professional development.
  • Perform additional duties as needed; minimal travel may be required.

Skills

Communication
Organization
Tech skills
Empathy
Team player

Education

High School Diploma or GED

Job description

Pharmacy Technician Prior Authorizations

Remote

Join our Shields team today!

Shields Health Solutions is redefining patient care through specialty pharmacy. We’re hiring a Prior Authorization Pharmacy Technician - Patient Support Advocate to support the growth of the specialty pharmacy program. This role supports patient access to medications by coordinating prior authorizations, securing financial assistance, and resolving insurance barriers. It includes patient communication, claim adjudication, and promoting medication adherence through pharmacy system support.

What You’ll Do:
  • Work with insurance companies to obtain medication approvals.
  • Use pharmacy systems to enter data, run test claims, and manage follow-up actions.
  • Document patient needs, authorization status, and assistance efforts across systems and EMRs.
  • Communicate with prescribers to ensure accurate and appropriate prescriptions.
  • Maintain detailed records of all patient interactions.
  • Assist patients with insurance claims and medication adherence over the phone.
  • Partner with pharmacists and liaisons to support coordinated patient care.
  • Research information to support decisions and operational improvements.
  • Manage and update data in relevant databases.
  • Identify issues, recommend solutions, and participate in process improvement initiatives.
  • Maintain confidentiality and ongoing professional development.
  • Perform additional duties as needed; minimal travel may be required.
What You’ll Get:
  • Medical, dental, and vision insurance starting day one
  • 401(k) with match , 4 weeks PTO , 10 paid holidays
  • Paid parental leave , short-term disability , and professional development
  • Access to employee resource groups and wellness programs
What You Need:
  • 2+ years of experience as a pharmacy technician; High School Diploma or GED
  • Strong communication, organization, and tech skills
  • Empathy, integrity, and a team-first mindset

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

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.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

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