Prior Authorization Pharmacy Technician - Rhode Island Pharmacy License

Shields Health Solutions; Bristol (RI); Vor Ort; USD 28.000 - 30.000; Vollzeit

Zusammenfassung

Shields Health Solutions seeks an experienced Pharmacy Technician to join our Rhode Island operations as a Patient Support Advocate. You’ll help patients access medications, navigate insurance, coordinate financial assistance, and support prior authorizations in a collaborative pharmacy team.

This role emphasizes data entry, claims adjudication, and patient communication, with a focus on adherence and access.

Qualifikationen

• Minimum 1 year of Pharmacy Technician experience.
• Rhode Island State Registered and/or State Certified Pharmacy Technicians (where applicable).
• National certification is required at time of hire if the state residence does not offer pharmacist registration.

Aufgaben

• Communicate directly with insurance companies to facilitate medication approvals through prior authorizations.
• Help patients access financial assistance through foundations, manufacturer programs, and other funding resources to reduce high-cost medication burdens.
• Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans.
• Document patient concerns, prior authorization status updates, and financial assistance needs across databases, EMR, and email systems.
• Assist patients in managing pharmacy insurance claims and resolving coverage-related issues.
• Partner with pharmacists and pharmacy liaisons to deliver coordinated, high-quality patient care.
• Provide phone support to patients to improve medication adherence and compliance.
• Research, investigate, and analyze information to support decision-making and problem resolution.
• Manage, organize, and maintain data within various database applications.
• Identify trends, recommend process improvements, and contribute to operational excellence initiatives.
• Protect confidential information and maintain compliance with privacy requirements.
• Remain current on industry knowledge through continuing education and networking.

Kenntnisse

Customer service

Patient communication

Insurance claims

Prior authorization

Pharmacy operations

Ausbildung

High School Diploma or GED

Tools

Microsoft Office

Jobbeschreibung

Patient Support Advocate - Rhode Island Licensed Pharmacy Technician

Help Patients Access the Medications They Need

Are you an experienced Pharmacy Technician who is passionate about helping patients overcome barriers to care? Join our team as a Patient Support Advocate , where you'll play a critical role in improving medication access, supporting adherence, and guiding patients through insurance and financial assistance challenges.

This position combines patient advocacy, prior authorization support, insurance navigation, financial assistance coordination, and pharmacy operations , making a direct impact on patient outcomes every day.

• Communicate directly with insurance companies to facilitate medication approvals through prior authorizations.
• Help patients access financial assistance through foundations, manufacturer programs, and other funding resources to reduce high-cost medication burdens.
• Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans.
• Document patient concerns, prior authorization status updates, and financial assistance needs across databases, electronic medical records, and email systems.
• Assist patients in managing pharmacy insurance claims and resolving coverage-related issues.
• Partner closely with pharmacists and pharmacy liaisons to deliver coordinated, high-quality patient care.
• Provide phone support to patients and help improve medication adherence and compliance.
• Research, investigate, and analyze information to support decision-making and problem resolution.
• Manage, organize, and maintain data within various database applications.
• Identify trends, recommend process improvements, and contribute to operational excellence initiatives.
• Protect confidential information and maintain compliance with all privacy requirements.
• Remain current on industry knowledge through continuing education, professional publications, and networking opportunities.
• Travel occasionally, as business needs require.

• Minimum 1 year of Pharmacy Technician experience
• Strong customer service and patient communication skills
• Experience working with insurance claims, medication access, prior authorizations, or pharmacy operations preferred
• High School Diploma or GED required

We are seeking experienced Pharmacy Technicians who are:

• Rhode Island State Registered and/or State Certified Pharmacy Technicians (where applicable)
• Important: If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire.

Every day, you'll help patients navigate complex insurance requirements, secure financial assistance, and gain access to life-changing medications.

Hourly Pay Range: $20.00 - $22.00 per hour

Pharmacy Technician • Certified Pharmacy Technician (CPhT) • Patient Support Advocate • Prior Authorization Specialist • Medication Access • Specialty Pharmacy • Patient Assistance Programs • Insurance Verification • Claims Adjudication • Financial Assistance • Pharmacy Operations • Healthcare Support • Medication Adherence • Patient Advocacy

California residents employed by or applying for work at Shields have certain privacy rights. California Workforce Privacy Notice and Privacy Policy.

Message and data rates may apply. 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.

if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.