Remote MA Pharmacy Tech — Prior Authorization Advocate

Shields Health Solutions; Northern (KY); Hybrid; USD 28,000 - 30,000; Full time

Job summary

Shields Health Solutions is seeking an experienced Pharmacy Technician to act as a Patient Support Advocate, aiding patients with prior authorizations, insurance navigation, and financial assistance while supporting pharmacy operations. This remote role emphasizes patient access and adherence, collaborating with physicians and pharmacists to ensure timely therapy.

The position requires MA licensure consideration and a focus on privacy and compliance, with opportunities to impact patient outcomes

Qualifications

• Minimum 1 year of Pharmacy Technician experience.
• Strong customer service and patient communication skills.
• Experience with insurance claims, prior authorizations or pharmacy operations preferred.

Responsibilities

• Communicate with insurance companies to facilitate prior authorizations.
• Help patients access financial assistance through foundations and manufacturer programs.
• Enter data, adjudicate claims, process refills, and create follow-up action plans in pharmacy systems.
• Document patient concerns, prior authorization status, and financial needs across databases and EMR.
• Collaborate with physicians' offices to ensure timely medication therapy.
• Maintain complete records of patient communications and case activity.
• Assist with managing insurance claims and resolve coverage-related issues.
• Partner with pharmacists and liaisons to deliver coordinated patient care.
• Provide phone support to improve medication adherence.
• Research and analyze information to support decision-making and problem resolution.
• Manage data within various database applications.
• Identify trends and contribute to process improvements.

Skills

Customer service

Insurance claims

Prior authorizations

Pharmacy operations

Data entry

Communication

Education

High School Diploma or GED

Tools

Pharmacy software

Job description

Shields Health Solutions is seeking an experienced Pharmacy Technician to act as a Patient Support Advocate, aiding patients with prior authorizations, insurance navigation, and financial assistance while supporting pharmacy operations. This remote role emphasizes patient access and adherence, collaborating with physicians and pharmacists to ensure timely therapy.

The position requires MA licensure consideration and a focus on privacy and compliance, with opportunities to impact patient outcomes