Prior Authorization Specialist
Prior Authorization Specialist
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Job Description
Our Company
Amerita
Overview
This role will be responsible for activities relating to the proper initiation clinical review submission and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.
Schedule:
Monday - Friday
8:30am - 5:00pm
Competitive Pay
Health Dental Vision & Life Insurance
Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k
Pet Insurance
Responsibilities
- Initiate process and oversee the clinical review of prior authorization requests for medication and supply ensuring compliance with payer requirements and clinical guidelines.
- Collaborate with healthcare providers insurance companies and patients to gather necessary clinical information and documentation to support prior authorization submissions.
- Submit prior authorization requests accurately and in a timely manner utilizing electronic submission platforms and following established protocols.
- Knowledgeable to perform all PA functions.
Qualifications
- High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
- 1 years pharmacy experience
- Pharmacy or healthcare-related knowledge
- Knowledge of pharmacy terminology including sig codes and Roman numbers brand/generic names of medication
- Basic math and analytical skills
- Intermediate typing/keyboard skills
About our Line of Business
Additional Job Information
Percentage of Travel: 0-25%
Salary Range
Required Experience:
Unclear Seniority
Employment Type
Full-Time
