Prior Authorization Representative

Job Details Locations: Miramar, FL Schedule: Full-Time, Monday – Friday Pay Rate: $19.00/Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES

Manage incoming and outgoing calls, documenting all calls in the dedicated application for call documentation. Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior Authorization (PA) department. Analyze clinical PAs using the provided clinical protocols, and provide regarding PA requests based on provided documentation. Clarify any questions or concerns received from clients and/or internal departments. Assist with inquiries related to pre-authorizations referred by the account managers or other departments. Use online databases to document recommendations, clinical decisions, and responses. Deliver high-quality customer service in a fast-paced, dedicated PA program. Provide support on training new employees. Participate in training, conferences, orientations, and other activities related to your business unit. Must have a flexible work schedule to meet changing department needs. Qualifications And Requirements Pharmacy technician certification (CPhT) required, registered preferred. Prefer 2 years experience working as a pharm tech or as a physician office assistant handling phone calls and reviewing charts. 1 year experience contacting other healthcare providers as part of daily job preference. Excellent communication skills working in a professional environment. Strong organizational skills working under time constraints in a constantly changing environment. PC experience to navigate new applications, with intermediate Excel and Word skills preferred. Physical Demands This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position requires strong multitasking skills, attentions to detail, and the ability to lift and/or move up to 20 lbs. The Perks Of Joining Our Team Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance. Paid vacation and holiday pay. Robust Employee Wellness Program. 401(k) with a company match. Employee Assistance Program provides confidential support and counseling. Employee referral program. Ready to start your rewarding journey with us? Apply today! We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future. ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at View email address on click.appcast.io. ProCare Rx is an Equal Opportunity Employer. #J-18808-Ljbffr ProCare Rx