State Licensed Eligibility Specialist

Job Summary

A company is looking for an Eligibility Specialist to manage patient eligibility and benefits investigations for specialty pharmacy services.

Key Responsibilities

• Conduct benefits investigations and document outcomes in the appropriate tools
• Collaborate with team members to enhance patient care and identify operational improvements
• Maintain confidentiality of sensitive information and participate in ongoing educational opportunities

Required Qualifications, Training, and Education

• High school diploma or GED is required
• 0-1 years of experience as a Pharmacy Technician
• State pharmacy technician license is required; national certification is preferred but not mandatory
• Ability to learn and navigate Electronic Medical Records (EMR) and Pharmacy Dispensing Systems (PDS)
• Commitment to obtaining any required licensure within an agreed timeframe if not currently held