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BrightSpring Health Services
Oklahoma, OK | Full Time
$35k-44k (estimate)
2 Weeks Ago
Amerita
Oklahoma, OK | Full Time
$34k-42k (estimate)
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Pharmacy Careers
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PRIOR AUTHORIZATION SPECIALIST
$35k-44k (estimate)
Full Time 2 Weeks Ago
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BrightSpring Health Services is Hiring a PRIOR AUTHORIZATION SPECIALIST Near Oklahoma, OK

PRIOR AUTHORIZATION SPECIALIST
Job LocationsUS-OK-OKLAHOMA CITY
ID2024-145712Line of BusinessAmeritaPosition TypeFull-Time
Our Company

Amerita

Overview

Come join our closed-door specialty infusion pharmacy! Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. 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 prior authorization process.

Work Schedule: Mon- Fri 9:00am - 5:30pm

* Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
* 401(k) Retirement Plan with Employer Match
* Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
* Employee Discounts
* Tuition Reimbursement
* Paid Time Off & Holidays

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 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 about Amerita, please visit www.ameritaiv.com. Follow us on TwitterandLinkedIn.
Additional Job Information

Percentage of Travel: 0-25%

Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

Job Summary

JOB TYPE

Full Time

SALARY

$35k-44k (estimate)

POST DATE

06/09/2024

EXPIRATION DATE

08/08/2024

WEBSITE

brightspringhealth.com

HEADQUARTERS

Louisville, KY

SIZE

<25

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BrightSpring Health Services
Full Time
$68k-83k (estimate)
Just Posted

The job skills required for PRIOR AUTHORIZATION SPECIALIST include Prior Authorization, etc. Having related job skills and expertise will give you an advantage when applying to be a PRIOR AUTHORIZATION SPECIALIST. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by PRIOR AUTHORIZATION SPECIALIST. Select any job title you are interested in and start to search job requirements.

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If you are interested in becoming a Prior Authorization Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Prior Authorization Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Prior Authorization Specialist job description and responsibilities

Request, follow up and secure prior-authorizations prior to services being performed.

04/09/2022: Laramie, WY

Receive requests for pre-authorizations and ensure that they are properly and closely monitored.

03/28/2022: Schenectady, NY

Contact insurance carriers to verify patient’s insurance eligibility, benefits and requirements.

02/27/2022: Wichita, KS

Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.

04/08/2022: Altus, OK

Reported to supervisor to assure accurate capture of services needing authorization.

02/05/2022: Dothan, AL

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Prior Authorization Specialist jobs

Prior Authorization Specialist must have excellent computer skills including Excel, Word, and Internet use.

02/12/2022: New Britain, CT

A good Prior Authorization Specialist are those who are detail oriented with above average organizational skills.

03/28/2022: Galveston, TX

Basic understanding of human anatomy, specifically musculoskeletal would also give you benefits for this role.

04/04/2022: Lebanon, PA

Some experience in medical billing or insurance authorization are strongly preferred by most employers.

03/10/2022: Jamestown, NY

Licenses and certifications are not usually required to work as a prior authorization specialist.

04/02/2022: Mcallen, TX

Step 3: View the best colleges and universities for Prior Authorization Specialist.

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