Prior Authorization Specialist / Remote

Overview This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. The role requires working knowledge of pharmacy benefits and prior authorization processes. Company Amerita 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. Perform all PA functions effectively. Qualifications High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy. 1+ years of pharmacy experience. Pharmacy or healthcare-related knowledge. Knowledge of pharmacy terminology including sig codes, Roman numerals, 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 Additional Job Information Percentage of Travel: 0-25% Salary Range: USD $22.00 - $26.00 / Hour #J-18808-Ljbffr