Pharmacy Refill Technician - Claims & Outbound Calls

Shields Health Solutions is redefining patient care through specialty pharmacy integration.

As a Pharmacy Refill Technician, you will support the specialty pharmacy team by ensuring the accurate, timely filling and delivery of specialized medications. In this patient-centric operational role, you will assist patients through the refill lifecycle, handle outbound and inbound calls, coordinate prescription data entry, and troubleshoot insurance claim adjudications to maintain seamless clinical workflow.

Key Responsibilities

• Patient Support & Communication: Provide compassionate, knowledgeable assistance to patients, healthcare providers, and pharmacy staff via inbound and outbound phone calls.
• Refill Coordination & Data Entry: Proactively initiate outbound refill calls, process patient requests promptly, and ensure accurate prescription data entry in pharmacy systems.
• Order Verification & Triage: Triage incoming calls and clarify prescription details with pharmacists, clinicians, or care coordinators.
• Claims Adjudication: Assist with prescription claim adjudication, resolving rejections, and navigating coverage troubleshooting to prevent therapy delays.
• Operational Excellence: Maintain efficient pharmacy workflows, follow documentation standards, and handle patient records securely.

Requirements

Licensure, Education & Experience

• Licensure: Registered Pharmacy Technician in the state of Mississippi (Certified Pharmacy Technician / CPhT preferred).
• Experience: 2+ years of practical experience as a pharmacy technician in a retail, clinical, or specialty pharmacy environment.
• Education: High School Diploma or GED required.

Technical Capabilities & Assessment

• Solid computer proficiency, including hands-on experience with Microsoft Office tools (Outlook, Teams, Word, Excel, PowerPoint) and web-based applications.
• Strong data entry accuracy and system navigation skills (evaluated via a pre-employment practical assessment).

Professional Competencies

• Strong verbal and written communication skills with high empathetic listening abilities.
• Excellent organizational skills, attention to detail, and a team-first mindset.

Total Rewards & Benefits

• Health & Wellness: Comprehensive medical, dental, and vision insurance coverage effective starting Day One of employment; wellness programs and short-term disability insurance.
• Time Off: 4 weeks of Paid Time Off (PTO), 10 paid company holidays, and paid parental leave.
• Financial & Career: 401(k) retirement plan with company matching, professional development stipends, and access to Employee Resource Groups (ERGs).