Remote Patient Access Advocate - Pharmacy Tech

Shields Health Solutions; New Hampshire; Hybrid; USD 28,000 - 30,000; Full time

Job summary

Shields Health Solutions is seeking an experienced Pharmacy Technician turned Patient Support Advocate to help patients overcome barriers to care. You'll guide insurance navigation, prior authorizations, and financial assistance while supporting adherence.

In this remote role, you will collaborate with pharmacists, insurance providers, and physicians to approve meds, enter data, and track case activity across systems.

Qualifications

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

Responsibilities

• Communicate with insurance companies to facilitate medication approvals through prior authorizations.
• Help patients access financial assistance through foundations, manufacturer programs, and other funding resources.
• 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.
• Collaborate with physicians' offices to ensure timely and appropriate medication therapy.
• Maintain complete and accurate records of patient communications and case activity.
• Assist patients in managing pharmacy insurance claims and resolving coverage-related issues.
• Partner with pharmacists and pharmacy liaisons to deliver coordinated patient care.
• Provide phone support to patients and help improve medication adherence and compliance.
• Research and analyze information to support decision-making and problem resolution.
• Manage data within various database applications.
• Identify trends, recommend process improvements, and contribute to operational excellence initiatives.
• Serve as a trusted business partner to stakeholders across the organization.
• Protect confidential information and maintain privacy compliance.
• Remain current on industry knowledge through continuing education and networking.
• Travel occasionally, as business needs require.
• Perform other duties as assigned.

Skills

Customer service

Patient communication

Insurance navigation

Prior authorizations

Pharmacy operations

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Shields Health Solutions is seeking an experienced Pharmacy Technician turned Patient Support Advocate to help patients overcome barriers to care. You'll guide insurance navigation, prior authorizations, and financial assistance while supporting adherence.

In this remote role, you will collaborate with pharmacists, insurance providers, and physicians to approve meds, enter data, and track case activity across systems.