Pharmacy Technician - Eligibility Data Entry Specialist - National Certification

🌟 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

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice  and Privacy Policy .  

By providing your mobile number, you agree to receive  text 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.'  Consent  is not a condition of employment.

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.