Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist page is loaded## Pharmacy Prior Authorization Specialistlocations: Pharmacy Solutions Group - Ohiotime type: Full timeposted on: Posted Todayjob requisition id: R-0000117054**Job Address:**9299 Market PlaceBroadview Heights, OH 44147**Job Description****:** Prior Authorization Specialist**Reports to****:** Pharmacy Prior Authorization Manager**Job Type****:** Full-Time – Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland**Position Overview****:** The Prior Authorization Specialist will maintain the Prior Authorization’s workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.**Key Responsibilities Include but are not limited to****:*** Work in cohesion with the Adjudication, Claim Intervention and Billing Departments* Submit prior authorizations in accordance with Insurance regulations* Ensure accurate and timely processing of prior authorizations* Work directly with insurance companies for prior authorization resolution* Communicate with facilities to gain additional information* Any other duties assigned* Follow federal and state regulations* Adhere to company policies and procedures* Follow HIPPA guidelines and regulations**Qualifications and Requirements****:*** Prior Authorization experience (not required)* Previous Long-Term Care pharmacy experience a plus (not required)* Knowledge of Framework LTC a plus (not required)**Salary and Benefits****:*** Competitive salary commensurate with experience* Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more #J-18808-Ljbffr