Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Prior Authorization Specialist

Kyyba

Job Title: (Prior Authorization Specialist)

About Kyyba:
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.


Job Description

Dept: Pharmacy Help Desk Comm

Will this position be required to work onsite for any reason at any time? Yes, up to 1 day per week.

Engagement Description -
Support major health care payer providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations. High School Graduate of GED equivalent required. Two (2) years of college preferred. Two (2) years' experience in retail pharmacy required. Pharmacy Technician Certification (PTCB) preferred. Knowledge of prescription drug names, therapeutic classes and claims processing.

Top 3 Required Skills/Experience -
• 2 years of retail pharmacy experience
• Computer and Microsoft office experience
• Customer Service

Required Skills/Experience - The rest of the required skills/experience. Include:
• Basic Pharmacy and medical terminology
• Pharmacy claim adjudication experience
• Knowledge of basic drug classes

Preferred Skills/Experience - Optional but preferred skills/experience. Include:
• Certified Pharmacy Technician

Education/Certifications - Include:
• High School Diploma
Location : (Detroit, MI)

Disclaimer:
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need."
It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at View phone number on click.appcast.io


Rewards:
Medical, dental, vision
401k
Term life
Voluntary life and disability insurance
Optional Pre-paid legal plan
Optional Identity theft plan
Optional Medical and dependent FSA
Work-visa sponsorship
Opportunity for advancement
Long-term assignment with opportunity for hire by client


SELECT AWARDS
  • An INC 5000 company for 10 years
  • Corp! Michigan Economic Bright Spots
  • Crain's Detroit Business Top Staffing Service Companies in Detroit
  • TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
  • Best of MichBusiness winner in HR Wizards & Partnerships
  • Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
  • 101 Best & Brightest Companies to Work for in Michigan
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Prior Authorization Specialist in United States vacancy
  • $29.62 - $45.31 per hour

     ...inspire and retain the best people, we must empower them. Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Shift work

    Providence Health & Service

    Oregon, WI
    1 day ago
  •  ...Resolve Pain in New Orleans is seeking a full-time Prior Authorization Specialist to join our team. This role involves managing prior authorizations for interventional pain procedures and ensuring timely approvals according to insurance requirements. The ideal candidate... 
    Suggested
    Full time

    Resolve Pain

    Harahan, LA
    4 days ago
  • $101.18k - $120.46k

     ...Senior Shared Services Specialist Argo Group is an underwriter of specialty insurance products...  ...direction and within broad limits and authority, partner with adjuster, auto/property...  ...for this or any other position without prior authorization from Human Resources will... 
    Suggested
    Work experience placement
    Local area

    Argo Group

    Albany, NY
    1 day ago
  •  ...Demonstrates knowledge of breastfeeding learning principles. Competency in managed care process and understanding of referrals, prior authorizations, and insurer requirements. BLS - Basic Life Support AHA - American Heart Association Upon Hire and IBCLC - International... 
    Suggested
    16 hours
    Work at office
    Local area
    Shift work
    Day shift

    Dormont Manufacturing Company

    South Bethlehem, NY
    5 days ago
  • $23 - $27 per hour

     ...the Director, Contract and Revenue Cycle. The Revenue Cycle Specialist will help facilitate claims, payments, and verifications...  ...requirements are met Reviews claims to ensure eligibility, prior authorizations and proper signatures Submits claims in an organized sequence... 
    Suggested
    Contract work
    Work at office
    Local area
    Work from home
    Flexible hours

    Behavioral Health Group - BHG

    Brooklyn Park, MN
    1 day ago
  •  ...Overview The Revenue Cycle Specialist is responsible for managing the full cycle of medical billing and collections to ensure accurate...  ...patient insurance coverage and eligibility, obtaining prior authorizations as required. Monitor claim status, follow up on unpaid or denied... 
    Contract work
    Work at office

    NEWERA.media

    Bossier City, LA
    1 day ago
  •  ...providers as they navigate insurance coverage and reimbursement for Amgen therapies. Responsibilities include providing guidance on prior authorization processes and eduсating stakeholders on payer requirements. The ideal candidate will hold a Doctorate/Master’s with relevant... 

    Amgen

    Chicago, IL
    2 days ago
  •  ...Northeastern Vermont Regional Hospital is seeking an Access Specialist to join our team. Join our compassionate healthcare team as...  ...& Financial Processing - Verify insurance coverage, obtain prior authorizations, collect copays, and secure all required legal and... 
    Shift work
    Night shift

    340B Health

    Johnsbury, VT
    2 days ago
  •  ...Knoxville, Tennessee to support our Acute Authorization and Verification Team! Job Summary: The Verification Specialist - Specialty role is responsible for processing...  ...to completion the requirement of obtaining prior authorizations for services. This includes... 
    Work from home

    ContinuumRx

    Vestavia Hills, AL
    4 days ago
  • $21.3 - $28.36 per hour

     ...Central Follow-Up Specialist Working at Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky is more than a...  ...normal lab results. Review, process, and notify patients of Prior Authorization claims for medications and procedures. Abstract incoming... 
    Full time
    Temporary work
    Remote work
    1 day per week

    ppgnhi.org

    Bremerton, WA
    6 days ago
  •  ...insurance Vision insurance 401(k) Pre-Certification Specialist Job Description Rehabilitation and Neurological Services...  ...Pre-Certification Specialist is responsible for obtaining prior authorizations and pre-certification approvals from insurance carriers to... 
    Work at office

    Rehabilitation and Neurological Service, LLC

    Huntsville, AL
    5 days ago
  •  ...Job Description Serve as a skilled specialist in advanced access knowledge and skills, partnering closely with Field Reimbursement...  ...proficient in understanding local plans and all facets of prior authorization, medical exception, and appeal processes. Exceptional communication... 
    Temporary work
    Local area

    Allergan

    North Chicago, IL
    5 days ago
  • $19 - $22.26 per hour

     ...Position Overview The Prior Authorization Specialist serves as the lead staff member for prior authorizations within Integrated Services for Behavioral Health. This role supports timely access to behavioral health and substance use treatment services by coordinating insurance... 
    Temporary work
    Work at office

    Integrated Services of Appalachian Ohio

    Nelsonville, OH
    5 days ago
  •  ...Prior Authorization Specialist The Prior Authorization Specialist is responsible for obtaining, tracking, and documenting insurance authorizations for medical services, procedures, medications, and treatments. This position works closely with providers, clinical staff... 
    Work at office

    Nebraska Hematology Oncology

    Lincoln, NE
    5 days ago
  • $22 per hour

     ...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting for an Insurance Reimbursement...  ...pays. Verify benefits, prepares pre-authorization requests. Document approvals and...  ...medical insurance and medical device prior authorization (preferred) ~3+ years... 
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work at office
    Remote work
    Monday to Friday
    Shift work

    Maven Wise

    Valencia, CA
    3 days ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health is seeking a Senior Coordinator for Prior Authorization to manage payer approvals for durable medical equipment orders. You will be responsible for submitting requests, following up with payers, and ensuring compliance with HIPAA and quality standards.... 
    Hourly pay
    Remote work

    Cardinal Health

    Saint Paul, MN
    1 day ago
  • $18.67 - $21.96 per hour

     ...RhodeIsland, SouthCarolina, SouthDakota, Vermont, WestVirginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty... 
    Traineeship
    Remote work
    Flexible hours
    Shift work

    Lumicera Health Services, LLC.

    New York, NY
    1 day ago
  •  ...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes...  ...all revenue opportunities are included to complete and submit prior authorizations timely for payer reimbursement. Communicate... 
    Contract work
    Temporary work
    Local area
    Flexible hours

    Vital Care Infusion Services

    Dallas, TX
    4 days ago
  • $23 per hour

     ...See below for open job opportunities. If you do not see any listings at this time, please check again later. Position: Prior Authorization Specialist Location: Woodridge, IL Job Id: 659 # of Openings: 1 Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy... 
    Full time
    Temporary work
    Local area
    Remote work
    Relocation package

    CareMed Specialty Pharmacy

    Woodridge, IL
    5 days ago
  •  ...Position Summary We are seeking a highly organized, detail-oriented, and proactive Prior Authorization Specialist to join our growing healthcare team. The Prior Authorization Specialist plays a critical role in ensuring patients receive timely access to medical services... 
    Full time
    Contract work
    Work at office
    Flexible hours

    Nova Medical Services

    Florida, NY
    1 day ago
  • $16 - $20 per hour

     ...removing barriers to care and making a real difference in patients' lives? Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic team and help ensure our patients get the medications and treatments they need, when they need them... 
    Hourly pay
    Seasonal work
    Local area

    AFFINITY HEALTH CENTER

    Rock Hill, SC
    4 days ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health in Jackson, MS, is seeking a Senior Coordinator for Prior Authorization responsible for managing payer approvals for durable medical equipment. The ideal candidate should have 3-6 years of healthcare payer-facing experience and strong phone communication... 
    Hourly pay
    Remote work

    Cardinal Health

    Jackson, MS
    1 day ago
  •  ...Patient Experience Specialist – ProgressiveHealth of Indiana, LLC – Washington, IN 421 E Van Trees St Washington, IN 47501, USA...  ...Verifying patient’s insurance in advance to ensure that necessary prior authorizations by payors have been obtained Educating patients confidently... 
    Full time
    H1b
    Work at office
    Work visa
    Shift work
    Day shift
    Weekday work

    ProgressiveHealth Rehabilitation, Inc

    Washington DC
    1 day ago
  • 45250BR Extended Job Title: Prior Authorization Specialist Org Level 1: Texas Tech Unv Hlth Sci Ctr El Paso Position Description: Responsible for verifying insurance coverage and eligibility, and obtaining required pre-authorizations for medical procedures... 
    Hourly pay
    Full time
    Work at office
    Shift work

    Texas Tech University Health Sciences Center El Paso

    El Paso, TX
    5 days ago
  • $20.31 per hour

     ...Prior Authorization Specialist We are looking for a Prior Authorization Specialist to join our team. In this role you will work with hospital departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered or scheduled... 
    Hourly pay
    Full time
    Remote work
    Monday to Friday
    Shift work

    Gundersen Health System

    Madison, WI
    5 days ago
  • $18 - $25 per hour

     ...Job Title: Medication Authorization Specialist Location: Rochester General MOB (1415 Portland Avenue, Rochester, NY 14621) Department: Pharmacy...  ...a-5p Key Responsibilities Coordinate and submit medication prior authorization requests to insurance companies, ensuring timely... 
    Part time
    Work experience placement
    Work at office
    Local area

    Dormont Manufacturing Company

    Rochester, NY
    4 days ago
  • $25 - $27 per hour

     ...Location United States, New Jersey, Marlton Position Overview Prior Authorization Specialist - Contract to Hire position based in Marlton, NJ. Responsibilities Verify medical insurance coverage for patients. Process prior authorization requests with accurate data entry... 
    Hourly pay
    Contract work
    Temporary work
    Work at office

    TEKsystems

    Marlton, NJ
    1 day ago
  • $16.75 - $21.75 per hour

     ...Cardinal Health is looking for a Senior Coordinator, Prior Authorization, to obtain and document payer approvals for durable medical equipment orders. You will prepare and submit prior auth packets, conduct follow-ups with payers, and ensure compliance with HIPAA standards... 
    Hourly pay
    Remote work
    Flexible hours

    Cardinal Health

    Helena, MT
    5 days ago
  •  ...Cardinal Health is seeking a Senior Coordinator, Prior Authorization to manage payer approvals for durable medical equipment orders. This fully remote position involves preparing and submitting prior authorization requests, conducting follow-ups, and ensuring compliance... 
    Remote work
    Flexible hours

    Cardinal Health

    Springfield, IL
    5 days ago
  • $17.37 - $23.89 per hour

     ...Prior Authorization Specialist Requisition ID#: 21858 Location: Olean, NY Work Type : Full-Time Shift: First Shift Job Details Scheduled Work Hours: Monday-Thursday 8a-5p; Friday 8a-3p Regular Work Week: Monday through Friday Work Arrangement... 
    Full time
    Monday to Friday
    Shift work
    Weekend work
    Day shift

    Kaleida Health

    Olean, NY
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Prior Authorization Specialist. Be the first to apply!