Prior Authorization Representative

Locations: Onsite - Gainesville GA OR Miramar FL

Schedule: Full-Time Monday Friday

Pay Rate: $19.00/Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:

• Manage incoming and outgoing calls documenting all calls in the dedicated application for call
  documentation.
• Handle letters from/to pharmacies physicians and healthcare providers in support of the Prior
  Authorization (PA) department.
• Analyze clinical PAs using the provided clinical protocols and provide regarding PA requests
  based on provided documentation.
• Clarify any questions or concerns received from clients and/or internal departments.
• Assists with inquiries related to pre-authorizations referred by the account managers or other
  departments.
• Use online databases to document recommendations clinical decisions and responses.
• Deliver high-quality customer service in a fast-paced dedicated PA program.
• Provide support on training new employees.
• Participate in training conferences orientations and other activities related to your business unit.
• Must have a flexible work schedule to meet changing department needs.

QUALIFICATIONS AND REQUIREMENTS:

• Pharmacy technician certification (CPhT) required registered preferred.
• Prefer 2 years experience working as a pharm tech or as a physician office assistant handling
  phone calls and reviewing charts.
• 1 year experience contacting other healthcare providers as part of daily job preference.
• Excellent communication skills working in a professional environment.
• Strong organizational skills working under time constraints in a constantly changing environment.
• PC experience to navigate new applications with intermediate Excel and Word skills preferred.

Physical Demands:

• This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position required strong multitasking skills attentions to detail and the ability to lift and/o move up to 20 lbs.

The Perks of Joining Our Team:

We believe in taking care of our team. Youll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive Health Benefits:Medical Dental Vision Short-Term/Long-Term Disability Insurance Life insurance.
• Time to Recharge:Paid vacation and holiday pay.
• Focus on Your Wellness:We offer a robust Employee Wellness Program.
• Invest in Your Future:401(k) with a company match.
• Support System:Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People:Employee referral program.

Ready to start your rewarding journey with us Apply today!

Please notewhile this job description is a comprehensive overview additional responsibilities may be part of therole.

ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries please contact our recruitment team at

ProCare Rx is an Equal Opportunity Employer.

Required Experience:

Unclear Seniority