Remote Prior Authorization Pharmacy Technician Advocate

Shields Health Solutions; Worcester (MA); Remote; USD 28,000 - 30,000; Full time

Job summary

Shields Health Solutions is seeking an experienced Pharmacy Technician to serve as a Patient Support Advocate in Massachusetts. The role focuses on prior authorizations, insurance navigation, financial assistance coordination, and ensuring timely access to medications.

You will collaborate with pharmacists, physicians, and care teams, enter data in systems, support adherence, and maintain compliant records while providing compassionate patient service.

Qualifications

• 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.

Responsibilities

• Communicate with insurance companies to obtain prior authorizations.
• Help patients access financial assistance and navigate funding.
• Enter data in pharmacy systems and adjudicate claims.
• Document patient concerns and status updates across databases.
• Collaborate with physicians' offices to ensure timely therapy.
• Maintain accurate records of communications and case activity.
• Assist with managing insurance claims and coverage issues.
• Provide phone support to improve medication adherence.
• Travel occasionally as needed.

Skills

Customer service

Patient communication

Insurance claims experience

Pharmacy operations experience

Education

High School Diploma or GED

Job description

Shields Health Solutions is seeking an experienced Pharmacy Technician to serve as a Patient Support Advocate in Massachusetts. The role focuses on prior authorizations, insurance navigation, financial assistance coordination, and ensuring timely access to medications.

You will collaborate with pharmacists, physicians, and care teams, enter data in systems, support adherence, and maintain compliant records while providing compassionate patient service.