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Pharmacy Technician – Prior Authorization
Shields Health SolutionsPrior Authorization Pharmacy Technician supporting specialty pharmacy access to medications by managing prior authorizations and patient communications. Collaborating with insurers and prescribers to streamline medication access.
About the role
Key responsibilities & impact- Work with insurance companies to obtain medication approvals.
- Use pharmacy systems to enter data, run test claims, and manage follow-up actions.
- Document patient needs, authorization status, and assistance efforts across systems and EMRs.
- Communicate with prescribers to ensure accurate and appropriate prescriptions.
- Maintain detailed records of all patient interactions.
- Assist patients with insurance claims and medication adherence over the phone.
- Partner with pharmacists and liaisons to support coordinated patient care.
- Research information to support decisions and operational improvements.
- Manage and update data in relevant databases.
- Identify issues, recommend solutions, and participate in process improvement initiatives.
- Maintain confidentiality and ongoing professional development.
- Perform additional duties as needed; minimal travel may be required.
Requirements
What you’ll need- State-registered (New Mexico) Pharmacy Technician; CPhT required.
- 2+ years of experience as a pharmacy technician; High School Diploma or GED
- Strong communication, organization, and tech skills
- Empathy, integrity, and a team-first mindset
Benefits
Comp & perks- Medical, dental, and vision insurance starting day one
- 401(k) with match, 4 weeks PTO, 10 paid holidays
- Paid parental leave, short-term disability, and professional development
- Access to employee resource groups and wellness programs
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medication Approval ProcessesData EntryTest Claims ManagementEMR DocumentationProcess Improvement Initiatives
Soft Skills
Strong CommunicationOrganizationEmpathyIntegrityTeam-First Mindset
Certifications
CPhT Certification