Full Time Prior Authorization Rn Jobs in Miami, FL

Are you a Pharmacy Technician who is passionate about patient care, medication access, and making a meaningful difference in patients' lives? Join our team as a Patient Support Advocate, where you'll serve as a trusted resource for patients, providers, insurance companies, and financial assistance programs to help remove barriers to treatment and improve medication adherence.

In this rewarding role, you'll combine your pharmacy knowledge, insurance expertise, and patient advocacy skills to help patients navigate complex healthcare systems and gain access to life-changing medications.

As a Patient Support Advocate, you will:

✅ Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.

✅ Navigate pharmacy operating systems to enter data, adjudicate test claims, and develop follow-up action plans.

✅ Document patient concerns, prior authorization status, and financial assistance needs across multiple databases, electronic medical records (EMRs), and email platforms.

✅ Collaborate with physicians' offices to ensure patients receive optimal care and access to prescribed therapies.

✅ Maintain complete and accurate records of all patient communications and case activity.

✅ Assist patients with pharmacy insurance claims and medication access challenges.

✅ Partner closely with pharmacists and pharmacy liaisons to deliver an integrated, high-quality patient care experience.

✅ Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.

✅ Research and investigate information to support informed decision-making and patient outcomes.

✅ Manage, organize, and update data using various database applications.

✅ Identify operational opportunities, recommend improvements, and support enhanced productivity, quality, and customer service standards.

✅ Analyze trends, resolve issues, implement solutions, and contribute to continuous process improvement initiatives.

✅ Serve as a value-added business partner to stakeholders throughout the organization.

✅ Protect confidential patient and organizational information in accordance with company policies.

✅ Stay current with industry trends and best practices through continuing education, professional publications, networking, and professional organizations.

✅ Perform other duties as assigned.

✈️ Minimal in-state or out-of-state travel may be required.

The ideal candidate is:

• Patient-focused and compassionate
• Detail-oriented with strong organizational skills
• Comfortable navigating multiple technology platforms and pharmacy systems
• Experienced in pharmacy insurance, prior authorizations, and financial assistance processes
• An effective communicator who excels in phone-based patient support
• A collaborative team player who enjoys solving complex problems

• Minimum 1+ year of Pharmacy Technician experience

• High School Diploma or GED required

We are seeking experienced Pharmacy Technicians who are:

• State registered or state certified as a Pharmacy Technician, where applicable
• National certification (CPhT or equivalent) required

Important Licensing Information

If the candidate's state of residence does not offer Pharmacy Technician registration, national certification is required at the time of hire.

Should additional licensure be necessary, the selected candidate must obtain the required credential(s) within a mutually agreed-upon timeframe. Continued employment is contingent upon maintaining required licensure and certification standards.

Shields Health Solutions is committed to pay transparency and equal employment opportunities.

Hourly Pay Range:
$19.45 - $22.21 per hour

Actual compensation may vary based on factors including, but not limited to:

• Geographic location
• Skills and abilities
• Education
• Relevant experience
• Certifications and licensure
• Other job-related considerations

Every day, patients face challenges accessing essential medications due to insurance requirements, high out-of-pocket costs, and healthcare system complexities. As a Patient Support Advocate, you'll play a vital role in helping patients overcome these barriers, stay on therapy, and achieve better health outcomes.

Apply today and help transform the patient experience—one patient at a time.

Patient Support Advocate, Pharmacy Technician, CPhT, Medication Access Specialist, Prior Authorization Specialist, Patient Advocate, Pharmacy Insurance Specialist, Medication Adherence, Healthcare Customer Service, Specialty Pharmacy, Pharmacy Support, Financial Assistance Programs, Insurance Verification, Healthcare Operations, Patient Care Coordinator, Certified Pharmacy Technician, PTCB, NHA

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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.