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Benefit Verification Pharmacy Technician

Shields Health Solutions LLC

Outreach Eligibility Specialist Overview Proactively grow the specialty pharmacy patient population by identifying patients that are eligible to fill with a Shields Partner Pharmacy. Complete patient benefits investigations. Protect Shields values by keeping information confidential. Responsibilities Perform benefits investigations. Utilize multiple approved tools to identify insurance coverage. Research within patients' medical records for current medication regimen. Complete benefits investigations with approved Pharmacy Dispensing Systems. Document clearly and concisely all outcomes of benefits investigations in the documentation tool. Collaborate with team members to provide an integrated approach to quality patient care. Apply observations and recommendations to operational issues, increasing productivity, quality, and customer‑service standards. Identify trends, resolve problems, recommend improvements, and implement change. Actively participate in process improvement initiatives. Act as a value‑added business partner to stakeholders throughout the organization. Update job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations. Other duties as assigned. Skills & Abilities Strong computer skills and the ability to quickly learn to navigate Electronic Medical Records (EMR) and Pharmacy Dispensing Systems (PDS). Very organized, self‑motivated with attention to detail, great interpersonal skills, high integrity, and dependable. Energetic and highly motivated team player with willingness to do whatever is necessary for the betterment of the company. Discretion and confidentiality are essential as the position deals with highly sensitive and private data. Experience & Education Required Licensure/Certification: Nationally certified from PTCB or equivalent (strongly preferred but not required). State license preferred but not required. Commitment to obtain required licensure within a mutually agreed timeframe if necessary. Years of Experience: 0‑1 years as a Pharmacy Technician. Required Education: High school diploma or GED. 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. #J-18808-Ljbffr

Vacancy posted 3 days ago
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