Pharmacy Technician - Eligibility Data Entry Specialist - National Certific at Shields Health Solutions

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Full Time

Start Date

Immediate

Expiry Date

25 Sep, 26

Salary

0.0

Posted On

27 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Benefits Investigation, Insurance Verification, EMR Systems, Pharmacy Dispensing Systems, Patient Documentation, Confidentiality, Interpersonal Communication, Attention To Detail, Organization, Computer Skills

Industry

Hospitals and Health Care

Description

🌟 Eligibility Specialist (Pharmacy Technician / Benefits Investigation) 📌 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 documentation—while maintaining strict confidentiality. 🚀 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 💡 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 🎓 Education & Experience High School Diploma or GED 0–1 year of experience as a Pharmacy Technician ✅ Licensure & Certification State Pharmacy Technician License (required) PTCB certification (required) Additional state certification may be required based on placement Must obtain required licensure within agreed timeframe if not already held 🔍 Keywords for Search Visibility Eligibility Specialist, Pharmacy Technician, Benefits Investigation, Insurance Verification, Specialty Pharmacy, EMR, Healthcare Support, Entry-Level Pharmacy Role 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. 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.

Responsibilities

The Eligibility Specialist performs benefits investigations and verifies insurance coverage to identify patients eligible for specialty pharmacy services. They are responsible for documenting outcomes and collaborating with team members to ensure high-quality patient care.