Prior Authorization Specialist
$22 - $30 per hourBrightSpring Health Services
Our Company
Amerita
Overview
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 the prior authorization process.
Schedule: Monday - Friday 8 am-5:30 pm MST
We Offer:
• Competitive Pay
• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability• Flexible Schedules & Paid Time Off• Tuition Reimbursement • Employee Discount Program & DailyPay• 401k
• Pet Insurance
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
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit Follow us onFacebook ( ,LinkedIn ( , andX ( .
Additional Job Information
Percentage of Travel: 0-25%
Salary Range
USD $22.00 - $30.00 / Hour
BrightSpring Health Services, and our family of brands, provides equal employment opportunity
Job LocationsUS-CO-DENVER
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 $30.00/Hr.
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