Shields Health Solutions
Candidates must hold an active North Carolina Pharmacy Technician license to be considered for this role. Job Description: The Patient Engagement Specialist will be responsible for providing service for inbound pharmacy phone calls and/or placing outbound patient refill calls and assisting the patient through the entire refill process. This role will be responsible for some or all of the below types of activities: responding to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy; inbound calls to support the health systems needs in patient; status checks on prescriptions; assists pharmacies to properly adjudicate electronic prescription drug claims and resolve adjudication error messages; responsible for providing knowledgeable and courteous customer assistance and response to members, providers, and pharmacy team member inquiries; serves as a point of contact between patients, pharmacy, liaisons, clinical providers, and various internal functional areas. Key Responsibilities: Proactively coordinate medication refills including data entry and pharmacy claim adjudication Make outbound patient refill phone calls and complete the patient refill request. Answer, resolve and triage inbound inquiries. Clarify prescription orders with pharmacist and/or clinician as appropriate. Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication. Manage, organize, and update relevant data using database applications. Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards. Identify trends, resolves problems; recommend improvements; implement change. Actively participate in process improvement initiatives. Act as a value-added business partner to stakeholders throughout the organization. Protect organization's value by keeping information confidential. Update knowledge by participating in educational opportunities; reading professional publications; maintaining networks; participating in professional organizations Flexible scheduling to meet business needs with health system partners starting as early as 7:45 AM (EST)/ 8am EST Other duties and/or responsibilities may apply Experience/Requirements: Required Licensure/Certification: We are seeking experienced pharmacy technicians who are state registered as a pharmacy technician. Nationally certified as a CPhT or equivalent is strongly preferred but not required. Should additional 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. *If the candidate's state of residence does not have a state registration available, then the National certification is required at time of hire. Should additional 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. Experience and Education Requirements: 1-3 years of Pharmacy Technician and adjudicating claims experience strongly preferred but not required - managing refills, specialty pharmacy, working with clinical care teams, and working remotely Education: High school diploma or GED required
Traits : Organized, high-integrity, high accountability, attention to detail, dependable, quality focus, empathetic, good listener/communicator, collaborative, consistently arrives to work on-time with minimal unscheduled time off Other: Energetic, highly motivated, team player with strong personal and communication skills, ability to sit and/or stand with focus at a workstation for a long period of time; discretion and confidentiality essential as position deals with highly sensitive and private data Minimum Remote Role Expectations: Remote role requires to be sitting at desk with two company required monitors
Must be willing able to work overtime to support week to week fluctuations in patient care management
Ability camera on for most meetings with co-workers or leaders 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. Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.