Prior Authorization Pharmacy Technician - Rhode Island Pharmacy License
Shields Health Solutions Prior Authorization Pharmacy Technician - Rhode Island Pharmacy License
💊 Patient Support Advocate - Rhode Island Licensed Pharmacy Technician
Help Patients Access the Medications They Need
Are you an experienced Pharmacy Technician who is passionate about helping patients overcome barriers to care? Join our team as a Patient Support Advocate, where you'll play a critical role in improving medication access, supporting adherence, and guiding patients through insurance and financial assistance challenges.
This position combines patient advocacy, prior authorization support, insurance navigation, financial assistance coordination, and pharmacy operations, making a direct impact on patient outcomes every day.
🌟 What You'll Do
As a Patient Support Advocate, you will:
✅ 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.
🎯 What We're Looking For
Required Experience
- 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 preferred
Education
- High School Diploma or GED required
Licensure & Certification
We are seeking experienced Pharmacy Technicians who are:
✔ Rhode Island State Registered and/or State Certified Pharmacy Technicians (where applicable)
✔ National certification (CPhT or equivalent) is strongly preferred but not required
Important: If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire.
Should additional licensure be required, the candidate must obtain the necessary credentials within a mutually agreed-upon timeframe. Continued employment is contingent upon maintaining required licensure and certification requirements.
❤️ Why This Role Matters
Every day, you'll help patients navigate complex insurance requirements, secure financial assistance, and gain access to life-changing medications. Your work will directly support better health outcomes while delivering an exceptional patient experience.
💰 Compensation & Benefits
At Shields Health Solutions, we are committed to pay transparency and equal employment opportunities.
Hourly Pay Range: $20.00 - $22.00 per hour
Actual compensation may vary based on several factors, including:
- Geographic location
- Relevant experience
- Education
- Skills and abilities
- Certifications and licensure
- Other job-related qualifications
Keywords
Pharmacy Technician • Certified Pharmacy Technician (CPhT) • Patient Support Advocate • Prior Authorization Specialist • Medication Access • Specialty Pharmacy • Patient Assistance Programs • Insurance Verification • Claims Adjudication • Financial Assistance • Pharmacy Operations • Healthcare Support • Medication Adherence • Patient Advocacy
California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.
By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.
Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.
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.
As published by greenhouse · 6 questions
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Pick from a list (6)
- How did you hear about Shields?
- Do you hold an active Rhode Island State Pharmacy Technician license?
- Do you currently hold a valid PTCB or NHA national certification?
- Are you authorized to work in the United States?
- Do you now or in the future require sponsorship to continue to be eligible to work in the United States? (Including transfers) or Are you an F-1 non immigrant whose eligibility to work is based on optional practical training (OPT) and you require company cooperation in completing a Form I-983 training plan for STEM-OPT employment?
- WOTC Applicant Survey: Shields Heath Solutions is participating in the Work Opportunity Tax Credit (WOTC) program. This program is designed by the federal government to help companies with federal incentives for hiring and retaining individuals from certain targeted groups into the workforce. Your preliminary response to the IRS Form 8850 questions below will help determine if Shields Health Solutions qualifies for this program. Any information you provide will be kept confidential and will not negatively affect your job, wages, or taxes. Thank you in advance for your time and participation. In order to determine if Shields Health Solutions potentially qualifies for this program, please check the box, at your discretion, if any of the statements below apply to you. ► I received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit. ► If any of the following statements apply to you. ► I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months. ► I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months. ► I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veteran Affairs. ► I am at least age 18 but not age 40 or older and I am a member of a family that: a. Received SNAP benefits (food stamps) for the past 6 months, or b. Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them. ► I received supplement security income (SSI) benefits for any month ending during the past 60 days. ► I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the past year. ► I am a veteran and was unemployed for a period or periods totaling at least 6 months during the past year. ► I am a veteran entitled to compensation for a service-connected disability and I was discharged or released from active duty in the U.S. Armed Forces during the past year. ► I am a veteran entitled to compensation for a service-connected disability and I was unemployed for a period or periods totaling at least 6 months during the past year. ► I am a member of a family that: ► Received TANF payments for at least the past 18 months, or ► Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years, or ► Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made. ► I have been unemployed at least 27 consecutive weeks and for all or part of that period I received unemployment compensation. (v.27)