Pharmacy Technician - Eligibility Data Entry Specialist - National Certification

<p></p> <div> <h1>🌟 <strong>Eligibility Specialist (Pharmacy Technician / Benefits Investigation)</strong></h1> <h2>📌 <strong>Overview</strong></h2> <p>The <strong>Eligibility Specialist</strong> plays a key role in growing specialty pharmacy services by identifying patients eligible for <strong>Shields Partner Pharmacy</strong>, completing <strong>benefits investigations</strong>, and ensuring accurate documentation—while maintaining strict confidentiality.</p> <hr> <h2>🚀 <strong>Key Responsibilities</strong></h2> <ul> <li>Perform <strong>benefits investigations</strong> and verify insurance coverage</li> <li>Utilize approved tools, <strong>EMR systems</strong>, and <strong>Pharmacy Dispensing Systems (PDS)</strong></li> <li>Review patient medical records to confirm medication regimens</li> <li>Accurately document investigation outcomes</li> <li>Collaborate with team members to support <strong>high-quality patient care</strong></li> <li>Identify trends, resolve issues, and recommend <strong>process improvements</strong></li> <li>Participate in ongoing operational and performance improvement initiatives</li> <li>Maintain confidentiality of sensitive patient and organizational information</li> <li>Stay current through professional development and training</li> <li>Complete additional duties as assigned</li> </ul> <hr> <h2>💡 <strong>Skills & Qualifications</strong></h2> <ul> <li>Strong computer skills with ability to quickly learn <strong>EMR and PDS platforms</strong></li> <li>Highly organized with strong <strong>attention to detail</strong></li> <li>Self-motivated, dependable, and team-oriented</li> <li>Excellent <strong>communication and interpersonal skills</strong></li> <li>High integrity with ability to handle <strong>confidential healthcare data</strong></li> <li>Adaptable, proactive, and committed to continuous improvement</li> </ul> <hr> <h2>🎓 <strong>Education & Experience</strong></h2> <ul> <li>High School Diploma or GED</li> <li>0–1 year of experience as a <strong>Pharmacy Technician</strong></li> </ul> <hr> <h2>✅ <strong>Licensure & Certification</strong></h2> <ul> <li>State Pharmacy Technician License (required)</li> <li><strong>PTCB certification</strong> (required)</li> <li>Additional state certification may be required based on placement</li> <li>Must obtain required licensure within agreed timeframe if not already held</li> </ul> <hr> <h2>🔍 <strong>Keywords for Search Visibility</strong></h2> <p><em>Eligibility Specialist, Pharmacy Technician, Benefits Investigation, Insurance Verification, Specialty Pharmacy, EMR, Healthcare Support, Entry-Level Pharmacy Role</em></p> </div><div class="content-conclusion"><p>California residents employed by or applying for work at Shields have certain privacy rights. Please review our: <span style="text-decoration: underline;"><a href="https://www.shieldshealthsolutions.com/wp-content/uploads/2023/01/CPRA-Notice-Shields-Website-January-1-2023.pdf" target="_blank">California Workforce Privacy Notice</a></span> and <a href="https://www.shieldshealthsolutions.com/privacy-policy/" target="_blank"><span style="text-decoration: underline;">Privacy Policy</span>.  </a></p> <p>By providing your mobile number, you agree to receive <span class="markoxh5x70hl" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">text</span> 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.' <span class="mark2cqbd9v63" data-markjs="true" data-ogac="" data-ogab="" data-ogsc="" data-ogsb="">Consent</span> is not a condition of employment.</p> <p>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.</p></div>