π Eligibility Specialist (Pharmacy Technician / Benefits Investigation)
π 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 documentationβwhile maintaining strict confidentiality.
π 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