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US 4w PTO

  • Coordinate and process medication refills including data entry and claim adjudication.
  • Place outbound refill calls and assist patients through the refill request process.
  • Respond to and resolve inbound patient and provider inquiries with empathy.

Pharmacy Technician Claims Adjudication Data Entry Microsoft Office Patient Communication

20 jobs similar to Patient Engagement Specialist (Pharmacy Technician)

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$19–$19/hr
US

  • Answer new referral intake and refill calls in a timely and professional manner, accurately updating patient information in the computer system.
  • Contact patients to collect information for medical chart establishment and schedule delivery or shipping arrangements for refills.
  • Maintain accurate patient records, assist with copay collections, and participate in performance improvement and quality management processes.

VytlOne is a specialty pharmacy company transforming the pharmacy industry through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, and more. They foster a diverse and progressive culture with a remote work model and a team-oriented environment that encourages collaboration and innovation.

US

  • Facilitate medication approvals by communicating with insurance companies and healthcare providers regarding prior authorizations.
  • Navigate pharmacy systems to enter data, adjudicate claims, process refills, and document patient interactions.
  • Assist patients with insurance claims, medication access challenges, and promote adherence through phone support.

Shields Health Solutions is a healthcare company dedicated to helping patients access life-changing medications through prior authorization and financial assistance support. They foster a collaborative, patient-focused culture with opportunities for professional growth in a fully remote setting.

US

  • Communicate directly with insurance companies to facilitate medication approvals and prior authorizations.
  • Navigate pharmacy systems to enter data, adjudicate claims, and document patient interactions across multiple databases.
  • Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions.

Shields Health Solutions partners with health systems to provide specialty pharmacy services, helping patients access complex medications. As a growing organization, they emphasize a collaborative culture and patient-centered care, employing pharmacy professionals dedicated to improving medication adherence and health outcomes.

US

  • Communicate with insurance companies and clinician offices to facilitate medication prior authorizations.
  • Assist patients with financial assistance resources and navigate pharmacy systems for claims processing.
  • Support medication adherence through direct patient communication and accurate documentation.

Shields Health Solutions is a healthcare solutions company specializing in specialty pharmacy services. The company fosters a collaborative culture focused on patient care and operational excellence.

US

  • Support the Pharmacotherapy Clinic by assisting pharmacists with patient communication and care coordination.
  • Conduct patient check-ins, coordinate appointments, and track labs to ensure timely follow-up.
  • Maintain documentation in Epic and perform clerical tasks to support clinical operations.

Shields Health Solutions provides specialty pharmacy services to health systems and hospitals. They focus on patient-centered care and offer a collaborative, inclusive work environment.

US

  • Serve as a liaison between patients, providers, and internal teams to coordinate alternative pharmacy sourcing.
  • Identify and verify sourcing channels for non-covered or high-cost medications.
  • Track sourcing outcomes, maintain compliance, and support patient access to medications.

CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for chronically ill or complex condition patients. With over 19,000 employees across 150+ facilities in six states, it is a family-owned company that values family, heart, and exceptional service.

US

  • Prepare prior authorization requests by validating prescriber and member information and ensuring appropriate clinical guidelines.
  • Make outbound calls to providers to obtain additional clinical information for pharmacist review.
  • Review and analyze pharmacy claims data for proactive outreach and intervention.

Judi Health is an enterprise health technology company offering pharmacy benefit management and health benefit solutions for employers and health plans. They are a startup focused on rebuilding trust in healthcare in the U.S.

US

  • Lead and manage a team of Patient Support Associates to ensure medication adherence and prior authorization support.
  • Proactively manage support in assigned hospitals and clinics to ensure patients receive medications on time.
  • Provide front-line supervision, coaching, and performance management to the Patient Support team.

Shields Health Solutions is a fast-growing company specializing in specialty pharmacy management services. They are committed to high quality and patient-centered care, with a focus on employee development and team collaboration.

US 2w PTO 3w maternity 3w paternity

  • Interpret, evaluate, and summarize information and datasets of varying sizes.
  • Determine benefit limits and secure insurance approvals for specialty infusion, oral chemotherapy and high-cost medications.
  • Serve as a resource to patients and staff regarding insurance and drug coverage questions.

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, it is the only NCI-designated cancer center in Washington, employing a diverse workforce that values collaboration, compassion, and innovation.

US

  • Lead and manage a team of Patient Support Associates to ensure medication adherence, prior authorization completion, and financial assistance support.
  • Partner with hospital and clinic stakeholders through regular meetings and collaboration calls to ensure patients receive medications on time.
  • Monitor service level metrics, conduct audits, and implement process improvements to optimize workflows and drive performance.

Shields Health Solutions is a fast-growing leader in specialty pharmacy, dedicated to a patient-first culture and mission-driven care. They offer a collaborative, supportive environment with strong career growth and leadership development opportunities.

3w PTO

  • Serve as a primary contact for medication inquiries, triaging calls and portal messages with empathy and urgency.
  • Facilitate prior authorizations and coordinate follow-up appointments to ensure continuity of care.
  • Document all interactions using SBAR standards and educate patients on refill policies and adherence.

Mindpath Health is redefining how mental health care is delivered, operating in more than 100 locations across six states with in-person and telehealth services. The team is deeply committed to compassionate, collaborative care and values diversity and inclusion.

$115,000–$135,000/yr
US 4w PTO 12w maternity 12w paternity

  • Counsel patients via telephonic outreach on medication adherence and make evidence-based recommendations.
  • Perform focused clinical chart reviews to inform patient interventions and document commitments.
  • Escalate complex cases to prescribers and meet performance goals such as STARs and HEDIS.

Aledade is a public benefit corporation dedicated to empowering independent primary care practices. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, remote-first culture.

$23–$24/hr
US

  • Own proactive outbound outreach to schedule patient appointments with Cadence clinicians and care team members.
  • Drive patient adherence to daily vital sign monitoring through consistent, personalized engagement.
  • Identify patients at risk of disengaging and execute re-engagement outreach to restore active participation.

Cadence is a clinical AI company automating the treatment of chronic disease. Grounded in partnerships with more than 20 leading health systems and serving over 100,000 patients, the company has been recognized by TIME as a top healthtech company and LinkedIn as a top startup.

US

  • Conduct outbound phone outreach and answer inbound calls to connect eligible members to RightMove's virtual MSK care.
  • Educate patients on available care options, verify eligibility, and schedule initial clinical evaluations.
  • Accurately document all patient interactions in CRM systems and escalate complex issues to internal teams.

RightMove is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. We are backed by the #1 orthopedic hospital in the world and focus on improving outcomes and reducing unnecessary healthcare costs.

  • Act as a trusted liaison between patients and healthcare providers, providing expert guidance on pharmacy benefits.
  • Own patient cases end-to-end, resolving coverage, prior authorization, and appeals issues.
  • Collaborate with stakeholders to ensure members navigate the healthcare system with confidence.

AffirmedRx is a pharmacy benefit management company on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to the industry. They are a mission-driven organization committed to patient-centered care and ethical practices.

US 4w PTO

  • Conduct high-volume outbound telephone outreach to patients, introducing the pharmacy service and guiding them through enrollment.
  • Deliver standardized messaging, obtain consent, and document all activity in the EHR.
  • Manage outreach queues, meet performance targets, and uphold HIPAA standards.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture of innovation and patient focus.

$48,000–$60,000/yr
US 4w PTO

  • Manage complex customer needs end-to-end across order fulfillment, patient onboarding, and service resolution for new Renal customers.
  • Serve as primary point of contact, exercising independent judgment to assess situations and drive resolution.
  • Proactively coordinate across internal teams to deliver patient-centered outcomes while meeting KPIs.

Vantive is a vital organ therapy company on a mission to extend lives and expand possibilities for patients and care teams. For 70 years, the team has driven innovations in kidney care, fostering a culture of focus, courage, and continuous improvement.

US 4w PTO

  • Serve as a primary point of contact for patients through phone, email, and in-app messaging.
  • Partner with cross-functional teams to ensure coordinated support throughout the care journey.
  • Resolve non-clinical inquiries while delivering a positive, patient-centered experience.

Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. The company has grown from a single innovation into a complete sleep health company with an international team across the US, France, and Belgium, and values clarity, trust, collaboration, and compassion.

US

  • Submit and track prescription orders to compounding pharmacies using LifeFile.
  • Communicate professionally with patients via phone, email, or chat regarding order statuses and updates.
  • Maintain strict confidentiality and adhere to all HIPAA guidelines while updating patient records.

SnappyCX is a company that provides support services, likely in healthcare operations. Their size and culture are not specified in the posting.

$47,840–$52,000/yr
US

  • Act as the primary point of contact for new patients via phone and email, guiding them through initial enrollment.
  • Proactively support patients in completing initial enrollment tasks and track progress to reduce drop-off.
  • Efficiently register and onboard a high volume of new patients by phone, collecting insurance details and setting up charts.

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team.