Elevating Specialty Pharmacy
Outreach Eligibility Specialist
Location
United States + 180 moreAll locations: United States, Canada, Brazil, Colombia, Argentina, Chile, Venezuela, Bolivarian Republic Of, Bolivia, Plurinational State Of, Ecuador, French Guiana, Guyana, Paraguay, Peru, Suriname, Uruguay, Mexico, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, Panama, Dominican Republic, Puerto Rico, Bahamas, Guadeloupe, Haiti, Jamaica, Martinique, Montserrat, United Kingdom, Germany, France, Estonia, Portugal, Hungary, Poland, Ukraine, Romania, Bulgaria, Czech Republic, Slovakia, Belarus, Moldova, Republic Of, Sweden, Greece, Belgium, Italy, Ireland, Switzerland, Netherlands, Finland, Malta, Denmark, Lithuania, Croatia, Spain, Austria, Bosnia And Herzegovina, Iceland, Luxembourg, Macedonia, The Former Yugoslav Republic Of, Montenegro, Norway, Serbia, Slovenia, Albania, Cyprus, Latvia, Monaco, South Africa, Egypt, Algeria, Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Congo, Côte D'ivoire, Congo, The Democratic Republic Of The, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-bissau, Kenya, Lesotho, Liberia, Libyan Arab Jamahiriya, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mayotte, Morocco, Mozambique, Namibia, Niger, Nigeria, Réunion, Rwanda, Senegal, Seychelles, Sierra Leone, Somalia, Sudan, Swaziland, Tanzania, United Republic Of, Togo, Tunisia, Uganda, Zambia, Zimbabwe, Georgia, Turkey, Israel, United Arab Emirates, Armenia, Azerbaijan, Bahrain, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Palestinian Territory, Occupied, Yemen, India, Japan, Philippines, Pakistan, Thailand, Singapore, Viet Nam, Taiwan, Province Of China, Indonesia, Cambodia, Lao People's Democratic Republic, Malaysia, Myanmar, Korea, Republic Of, China, Afghanistan, Bangladesh, Bhutan, Kazakhstan, Kyrgyzstan, Maldives, Mongolia, Nepal, Sri Lanka, Tajikistan, Turkmenistan, Uzbekistan, Australia, Papua New Guinea, Kiribati, Palau, French Polynesia, Tuvalu, New Zealand
Posted
7 days ago
Salary
Not specified
No structured requirement data.
Job Description
Role Description
- 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.
- Perform benefits investigation.
- Utilize multiple approved tools to identify insurance coverage.
- Research within patients' medical records for current medication regimen.
- Complete benefits investigation with approved Pharmacy Dispensing Systems.
- Document clearly and concisely all outcomes of benefits investigation in documentation tool.
- Collaborate with team members to provide an integrated approach of quality patient care.
- Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards.
- Identify trends, resolve problems; recommend improvements; 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; participating in professional organizations.
- Other duties as assigned.
Qualifications
- 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 dependability.
- Energetic and highly motivated team player with a 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.
Requirements
- Required Licensure/Certification: Experienced pharmacy technicians. Nationally certified from PTCB or equivalent is strongly preferred but not required. State license is required. Dependent on hospital placement, you may be required to become state certified. Should licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.
- Years of Experience: 0-1 years' experience as a Pharmacy Technician.
- Required Education: High school diploma or GED.
Company Description
Job Requirements
- 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 dependability.
- Energetic and highly motivated team player with a 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.
- Required Licensure/Certification: Experienced pharmacy technicians. Nationally certified from PTCB or equivalent is strongly preferred but not required. State license is required. Dependent on hospital placement, you may be required to become state certified. Should licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements.
- Years of Experience: 0-1 years' experience as a Pharmacy Technician.
- Required Education: High school diploma or GED.
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