Prior Authorization Specialist / Remote
$22 per hourBrightSpring Health Services
Prior Authorization Specialist / Remote Job Locations
US-CO-ENGLEWOOD ID
View phone number on click.appcast.io Line of Business
Amerita Position Type
Full-Time Pay Min
USD $22.00/Hr. Pay Max
USD $26.00/Hr. Our Company
US-CO-ENGLEWOOD ID
View phone number on click.appcast.io Line of Business
Amerita Position Type
Full-Time Pay Min
USD $22.00/Hr. Pay Max
USD $26.00/Hr. Our Company
Amerita
OverviewThis 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.
Shift: Monday-Friday 8:30am-5:30pm (EST)
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.
- 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
Percentage of Travel: 0-25%
Salary Range USD $22.00 - $26.00 / HourVacancy posted 5 hours ago
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