Prior Authorization Specialist

Prior Authorization Specialist

Job Category: Central Fill Requisition Number: PRIOR001586

Full-Time Hybrid Smyrna, GA 30082, USA

Description

JOIN A LEADING HEALTHCARE COMPANY

At Curant Health, our vision is Personalize healthcare driven by choice and defined by value. As a Curant Health employee, your role is to deliver on that vision every day by delivering excellent Customer Service, Personalize Care, Accountability, Innovation, and Integrity. You take initiative, set goals, and solve problems while collaborating with friends and colleagues. Together we make a meaningful impact on our patients lives.

In return, Curant Health is committed to providing you competitive pay, excellent benefits, and an opportunity to make a difference each day as we strive to reach our vision to be the preferred health care partner by excelling in quality, service, and affordability.

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA. We are committed to improving patient health outcomes by offering a pharmacist-managed medication care program, comprehensive therapeutic monitoring and dependable home delivery of prescription drugs.

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers, PBM, etc. providing phone assistance to all callers through the prior authorization process.

Responsibilities

• Maintaining complete, timely and accurate documentation of all approvals and denials, and transferring all clinical questions and judgment calls to the pharmacist.
• Assist physician groups in initiating prior authorization, follow up with PBM, and initiate appeals if applicable.
• Assist with other duties such as outbound calls, monitoring/responding to inquiries and other duties as assigned by the Patient Services manager.
• Manages work volume from inception to delivery utilizes appropriate courteous and professional behavior based upon established standards
• Complies with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.
• Manage written or formal documentation to patients and provider on prior authorization status.
• Communicates with Patient Care Coordinators and other internal teams for timely resolution of appeals/exceptions.
• General administrative support as assigned by manager.
• Provide backup support to team members as needed.

Qualifications

• Requires a high school diploma or equivalent
• 1 year experience
• Registered Pharmacy Technician

Why Work for Us? We offer competitive pay, paid holidays, benefits, paid time off and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts.

Our Core Values consist of ICARE; Integrity, Communication, Accountability, Relationships and Excellence, and we take pride in you embodying those traits. Curant Health is an equal opportunity employer.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.