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🌟 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

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WOTC Applicant Survey: Shields Heath Solutions is participating in the Work Opportunity Tax Credit (WOTC) program. This program is designed by the federal government to help companies with federal incentives for hiring and retaining individuals from certain targeted groups into the workforce. Your preliminary response to the IRS Form 8850 questions below will help determine if Shields Health Solutions qualifies for this program. Any information you provide will be kept confidential and will not negatively affect your job, wages, or taxes. Thank you in advance for your time and participation. In order to determine if Shields Health Solutions potentially qualifies for this program, please check the box, at your discretion, if any of the statements below apply to you. ► I received a conditional certification from the state workforce agency (SWA) or a participating local agency for the work opportunity credit. ► If any of the following statements apply to you. ► I am a member of a family that has received assistance from Temporary Assistance for Needy Families (TANF) for any 9 months during the past 18 months. ► I am a veteran and a member of a family that received Supplemental Nutrition Assistance Program (SNAP) benefits (food stamps) for at least a 3-month period during the past 15 months. ► I was referred here by a rehabilitation agency approved by the state, an employment network under the Ticket to Work program, or the Department of Veteran Affairs. ► I am at least age 18 but not age 40 or older and I am a member of a family that: a. Received SNAP benefits (food stamps) for the past 6 months, or b. Received SNAP benefits (food stamps) for at least 3 of the past 5 months, but is no longer eligible to receive them. ► I received supplement security income (SSI) benefits for any month ending during the past 60 days. ► I am a veteran and I was unemployed for a period or periods totaling at least 4 weeks but less than 6 months during the past year. ► I am a veteran and was unemployed for a period or periods totaling at least 6 months during the past year. ► I am a veteran entitled to compensation for a service-connected disability and I was discharged or released from active duty in the U.S. Armed Forces during the past year. ► I am a veteran entitled to compensation for a service-connected disability and I was unemployed for a period or periods totaling at least 6 months during the past year. ► I am a member of a family that: ► Received TANF payments for at least the past 18 months, or ► Received TANF payments for any 18 months beginning after August 5, 1997, and the earliest 18-month period beginning after August 5, 1997, ended during the past 2 years, or ► Stopped being eligible for TANF payments during the past 2 years because federal or state law limited the maximum time those payments could be made. ► I have been unemployed at least 27 consecutive weeks and for all or part of that period I received unemployment compensation.

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Pharmacy Technician - Eligibility Data Entry Specialist - National Certification

🌟 Eligibility Specialist (Pharmacy Technician / Benefits Investigation)

📌 Overview

🚀 Key Responsibilities

💡 Skills & Qualifications

🎓 Education & Experience

✅ Licensure & Certification

🔍 Keywords for Search Visibility

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