Prior Authorization Specialist / Remote
$22 - $26 per hourBrightSpring Health Services
Job Title
Amerita
Job Description
This 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 9:00am-5:30pm
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.
Qualifications
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
Salary Range
USD $22.00 - $26.00 / Hour
Vacancy posted 1 day ago
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