Pharmacy Technician - Eligibility Data Entry Specialist - National Certification
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Entry level
🌟 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…
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Full-time
high school, professional certificate
Posted 1d ago
~40 hrs/week
Responsibilities
The Eligibility Specialist performs benefits investigations and verifies insurance coverage to identify patients eligible for specialty pharmacy services. They are responsible for documenting outcomes and collaborating with team members to ensure high-quality patient care.
Requirements
Candidates must possess a High School Diploma or GED and hold both a State Pharmacy Technician License and PTCB certification. Zero to one year of experience as a Pharmacy Technician is required.
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
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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.
At Shields, improving lives and elevating performance are at
the heart of everything we do. That’s why more health system
leaders trust Shields to elevate access, outcomes and growth
within specialty pharmacy — delivering value throughout the
entire health system. Transform your specialty pharmacy into a
powerful growth engine and elevate performance where it
matters most with Shields — the premier specialty pharmacy
accelerator in the country.
Offices: 100 Technology Center Dr, Stoughton, Massachusetts 02072, US
At Shields, improving lives and elevating performance are at
the heart of everything we do. That’s why more health system
leaders trust Shields to elevate access, outcomes and growth
within specialty pharmacy — delivering value throughout the
entire health system. Transform your specialty pharmacy into a
powerful growth engine and elevate performance where it
matters most with Shields — the premier specialty pharmacy
accelerator in the country.
Offices: 100 Technology Center Dr, Stoughton, Massachusetts 02072, US