Remote Pharmacy Tech - Prior Authorization & Patient Access

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

Benefits offered by this job

Remote work

Pay transparency

Job summary

Shields Health Solutions is seeking a Pharmacy Technician to become a Patient Support Advocate, helping patients access medications, navigate insurance, and obtain financial assistance.

This role combines patient advocacy, prior authorization support, and pharmacy operations to directly impact patient outcomes daily. Connecticut-licensed or eligible technicians are preferred, with remote work options and competitive hourly pay.

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 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.
• Collaborate with physicians' offices to ensure patients receive 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 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.
• Serve as a trusted business partner to stakeholders throughout the organization.
• 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.
• Perform other duties as assigned.

Job description

Shields Health Solutions is seeking a Pharmacy Technician to become a Patient Support Advocate, helping patients access medications, navigate insurance, and obtain financial assistance.

This role combines patient advocacy, prior authorization support, and pharmacy operations to directly impact patient outcomes daily. Connecticut-licensed or eligible technicians are preferred, with remote work options and competitive hourly pay.