Shields Health Solutions
Pharmacy Technician - Eligibility Data Entry Specialist - National Certification
Remote
Role brief
What this role is asking for.
๐ Eligibility Specialist (Pharmacy Technician / Benefits Investigation) ๐ Overview The Eligibility Specialist plays a key role in growing specialty pharmacy services by identifying patients eligible for Shields Partner Pharmacy , completing benefits investigations , and ensuring accurate documentationโwhile maintaining strict confidentiality. ๐ Key Responsibilities Perform benefits investigations and verify insurance coverage Utilize approved tools, EMR systems , and Pharmacy Dispensing Systems (PDS) Review patient medical records to confirm medication regimens Accurately document investigation outcomes Collaborate with team members to support high-quality patient care Identify trends, resolve issues, and recommend process improvements Participate in ongoing operational and performance improvement initiatives Maintain confidentiality of sensitive patient and organizational information Stay current through professional development and training Complete additional duties as assigned ๐ก Skills & Qualifications Strong computer skills with ability to quickly learn EMR and PDS platforms Highly organized with strong attention to detail Self-motivated, dependable, and team-oriented Excellent communication and interpersonal skills High integrity with ability to handle confidential healthcare data Adaptable, proactive, and committed to continuous improvement ๐ Education & Experience...
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