Prior Authorization Specialist / Remote
$21 - $26 per hourBrightSpring Health Services
AmeritaThis 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 9:30am - 6:30pm CSTWe Offer:Competitive PayHealth, Dental, Vision & Life InsuranceCompany-Paid Short & Long-Term DisabilityFlexible Schedules & Paid Time OffTuition ReimbursementEmployee Discount Program & DailyPay401kPet InsuranceResponsibilitiesInitiate, 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.QualificationsHigh School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy1+ years pharmacy experiencePharmacy or healthcare-related knowledgeKnowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medicationBasic math and analytical skillsIntermediate typing/keyboard skillsSalary RangeUSD $21.00 - $26.00 / Hour
Vacancy posted 20 hours ago
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