Prior Authorization Technician

Responsibilities

• Facilitate medication approvals through prior authorizations by communicating with insurance companies and clinician offices
• Collaborate with patients and funding sources to obtain financial assistance for high-cost copays
• Navigate pharmacy operating systems to input data, adjudicate claims, and process refills
• Document patient concerns, prior authorization status, and financial assistance needs in electronic medical records
• Support medication adherence and compliance through direct phone communication with patients
• Maintain accurate records of patient communications and manage data within database systems

Requirements

• 1+ years of experience as a Pharmacy Technician
• High school diploma or GED
• State registration as a pharmacy technician (or agreement to obtain within 6 months)
• National certification (PTCB or NHA) at time of hire or within 9 months of employment
• Proficiency in Microsoft Office (Outlook, Teams, Word, Excel, PowerPoint)
• Strong data entry and computer skills

About the Company

Shields Health Solutions focuses on removing barriers to medication access and supporting patient care through specialized pharmacy services.