Shields Health Solutions Benefit Verification Pharmacy Technician

Outreach Eligibility Specialist 

Job Purpose:

• 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.

Job Duties:

• 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.
• Protect organization's values by keeping information confidential.
• Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional or
  
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