Pharmacy Prior Authorization Specialist

Seattle Children's Hospital

Job Location:

Seattle, OR - USA

Hourly Salary: $ 32 - 48

Posted on: 18 hours ago

Vacancies: 1 Vacancy

Job Summary

The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring and ensuring compliance through established procedures and documentation. Responsibilities include collecting all the necessary documentation contacting the client for additional information to complete the PA process. Complete timely and accurate identification and submission of prior and retro authorization requests to payors. Interacts with clients insurance companies patients as necessary to request for prior authorizations. Responsible for documenting account activity updating patient and claim information and demonstrates proficiencies with Epic CoverMyMeds and other billing platforms to ensure all functionalities are utilized for the most efficient processing of claims and identifies PA trends and/or issues resulting in delayed claims processing. Provides the highest level of customer service to internal care teams and patients and families.

Required Education/Experience:

- High school graduate or G.E.D.

- Graduation from accredited pharmacy technician training program or equivalent training.

- Minimum of three (3) years of retail or outpatient pharmacy practice experience.

Required Credentials:

- Licensed by the Washington State Pharmacy Department of Health as a pharmacy technician.

Preferred:

- One (1) year Seattle Childrens Outpatient Pharmacy experience.

- Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge.

Compensation Range

$32.07 - $48.11 per hour

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity skills experience and expertise and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle positions located outside of Seattle may be compensated differently depending on various factors.

Benefits Information

Seattle Childrens offers a generous benefit package including medical dental and vision plans 403(b) life insurance paid time off tuition reimbursement and more. Additional details on our benefits can be found on our website Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Childrens to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many and touches the hearts of all #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region regardless of the families ability to pay. Together we deliver superior patient care advance new discoveries and treatments through pediatric research and serve as the pediatric and adolescent academic medical center for Washington Alaska Montana and Idaho the largest region of any childrens hospital in the country.

U.S. News & World Report consistently ranks Seattle Childrens among the nations best childrens hospitals. For more than a decade Seattle Childrens has been nationally recognized in key specialty areas. We are honored to be one of the nations very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion Excellence Integrity Collaboration Equity and Innovation. Whether its delivering frontline care to our patients in a kind and caring manner practicing the highest standards of quality and safety or being relentlessly curious as we work towards eradicating childhood diseases these values are the fabric of our culture and community. The future starts here.

Our Commitment

Seattle Childrens welcomes people of all experiences backgrounds and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits employs trains compensates and promotes based on merit without regard to race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran status as an individual with a disability or other applicable legally protected characteristics.

The people who work at Seattle Childrens are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.

Seattle Childrens is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.