Prior Authorization Pharmacy Technician, Rhode Island Pharmacy License

Shields Health Solutions

. Communicate with insurance companies to facilitate medication approvals through prior authorizations .

Posted 10/22/2026full-timeRemote • Rhode Island • United StatesJunior💰 $20 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy operations, including prior authorizations and insurance claims processing, while maintaining compliance with privacy regulations. Strong communication and organizational skills are essential for effective patient support and collaboration with healthcare professionals.

Highest-signal resume keywords

Pharmacy Technician ExperiencePrior Authorization ManagementInsurance Claims ProcessingCustomer Service SkillsMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryMedication AccessPharmacy OperationsFinancial Assistance NavigationCase Documentation

Soft Skills

Patient CommunicationProblem ResolutionCollaborationOrganizational Skills

Tools & Technologies

Pharmacy Operating SystemsElectronic Medical RecordsDatabase ApplicationsWeb-Based Platforms

Certifications & Qualifications

Rhode Island State Registered Pharmacy TechnicianNational Certification (CPhT or Equivalent)

Industry Keywords

Medication TherapyOperational ExcellencePrivacy ComplianceContinuing Education

About the role

Key responsibilities & impact

Communicate with insurance companies to facilitate medication approvals through prior authorizations
Help patients access financial assistance through foundations, manufacturer programs, and other funding resources
Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans
Document patient concerns, prior authorization updates, and financial assistance needs across databases, electronic medical records, and email systems
Collaborate with physicians' offices to ensure timely and appropriate medication therapy
Maintain accurate records of patient communications and case activity
Assist patients with pharmacy insurance claims and coverage-related issues
Partner with pharmacists and pharmacy liaisons to deliver coordinated patient care
Provide phone support and help improve medication adherence and compliance
Research, investigate, and analyze information to support decision-making and problem resolution
Manage, organize, and maintain data in database applications
Identify trends, recommend process improvements, and contribute to operational excellence initiatives
Serve as a business partner to organizational stakeholders
Protect confidential information and maintain privacy compliance
Remain current through continuing education, professional publications, and networking
Travel occasionally as business needs require
Perform other duties as assigned

Requirements

What you’ll need

Minimum 1 year of Pharmacy Technician experience
Strong customer service and patient communication skills
Experience working with insurance claims, medication access, prior authorizations, or pharmacy operations preferred
High School Diploma or GED required
Rhode Island State Registered and/or State Certified Pharmacy Technician, where applicable
National certification (CPhT or equivalent) strongly preferred but not required
If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire
Must obtain additional required credentials within a mutually agreed-upon timeframe, if applicable
Must maintain required licensure and certification requirements for continued employment
Solid computer skills, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint)
Ability to navigate the internet and web-based platforms
Data entry and computer skills will be evaluated through a pre-employment assessment

Benefits

Comp & perks

Hourly pay of $20.00–$22.00 per hour
Continuing education, professional publications, and networking opportunities
Equal employment opportunities
Inclusive hiring experience and accommodations during the application or interview process