Prior Authorization Specialist

Placement Type:


N/A

Salary:


$35.81-38.96 Hourly

Start Date:


Jul 6, 2026

Aquent is proud to partner with a leading healthcare organization dedicated to advancing patient care and medical innovation. This organization is at the forefront of delivering exceptional health services, committed to improving lives through comprehensive and compassionate treatment. Joining this team means contributing to a mission that profoundly impacts community well-being and healthcare excellence.


To be considered for this role, you must:

• Be authorized to work in the United States
• Not require sponsorship of any kind for the duration of the assignment
• Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position
• Be able to work the following schedule: Monday - Friday, 7:30 AM - 4:00 PM

Are you a detail-oriented administrative professional passionate about ensuring patients receive the critical medications they need without delay? We are seeking a proactive and empathetic individual to join a vital team, where your dedication will directly impact patient access to essential treatments. In this role, you'll be instrumental in navigating complex administrative processes, streamlining medication prior authorizations, and providing crucial support that allows clinical teams to focus on patient care. Your work will directly contribute to a seamless patient experience and play a significant part in the health journey of countless individuals.


As a key member of the administrative team, you will manage the end-to-end prior authorization process for medications, ensuring timely submissions, tracking, and documentation. Your meticulous attention to detail and proactive communication will be critical in resolving issues and maintaining compliance, directly supporting patient access to vital care.


Key Responsibilities:

• Initiate, submit, and track medication prior authorizations and renewals within the Electronic Health Record (EHR) system and a dedicated prior authorization platform; meticulously document all actions and outcomes in the EHR.
• Conduct timely outreach via phone to pharmacy benefit managers (insurers), pharmacies, and patients to gather necessary information, resolve issues, and communicate prior authorization status.
• Efficiently manage inbound and outbound faxes, including sorting, labeling, scanning, indexing, and routing them to appropriate workqueues or staff members.
• Proactively monitor workqueues and in-baskets, ensuring diligent follow-up on pending cases, denials, and appeals to meet established turnaround times and departmental service level agreements.
• Verify patient benefits and coverage criteria, escalate any barriers encountered, and coordinate effectively with providers and clinics for alternative therapies when necessary.
• Uphold the highest standards of accuracy, confidentiality, and compliance with patient privacy regulations and organizational policies; adhere strictly to organizational communication standards.
• Perform additional administrative tasks as assigned by leadership to ensure smooth team operations and support overall departmental goals.

Qualifications:


Education:

• High school diploma or equivalent required.

Must-Have Skills & Experience

• Proficiency in using computers, keyboards, mice, and headsets.
• Experience with Electronic Health Record (EHR) systems, including managing work queues and documenting in-baskets.
• Familiarity with prior authorization platforms and common pharmacy benefit manager/payer portals. (CoverMyMeds specifically)
• Competency in Microsoft Outlook, Word, and Excel, as well as general web browsing.
• Experience with multi-line phone or softphone systems and communication platforms.
• Ability to operate eFax, scanners, printers, and other basic office equipment.
• Exceptionally clear and professional communication skills, both over the phone and in writing.
• Demonstrated strong customer service orientation.
• Outstanding attention to detail, accuracy, and reliable follow-through on tasks.

Nice-to-Have Skills & Experience:

• Experience with an Electronic Health Record (EHR) system in an ambulatory or specialty setting, specifically related to medication prior authorizations.
• Certified or Registered Pharmacy Technician (CPhT) credential or prior pharmacy experience.
• Experience handling appeals, drafting letters of medical necessity, and understanding payer policies (e.g., step therapy, quantity limits).
• Familiarity with government healthcare programs and commercial pharmacy benefit managers.
• Experience with specialty medications and coordinating with specialty pharmacies.
• Bilingual proficiency (e.g., Spanish, Mandarin etc.) to facilitate patient communication.

The target hiring compensation range for this role is $35.81 - $38.96 an hour. Compensation is based on several factors, including but not limited to education, relevant work experience, relevant certifications, and location


About Aquent Talent:


Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands.
Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium.
Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.


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