Prior Authorization Specialist - Pharmacy (ON SITE)

Job Overview

Join our dedicated team as a Pharmacy Prior Authorization Specialist, where you will play a pivotal role in enhancing patient access to essential medications. If you are driven by a passion for patient care and an aptitude for detail-oriented tasks, this position offers a unique opportunity to contribute positively to the healthcare landscape.

Key Responsibilities

• Initiate and manage prior authorization requests to facilitate patient access to medications.
• Become proficient in identifying the appropriate documentation for various insurance providers.
• Collaborate with healthcare professionals to compile necessary information for prior authorization submissions.
• Maintain proactive communication with medical offices to track the status of prior authorization requests.
• Provide clear and empathetic communication to patients and healthcare providers regarding authorization statuses.
• Assist patients in navigating the appeals process when necessary.
• Address inquiries from other departments concerning prior authorizations.
  
  

Required Skills

• High school diploma or GED required; a Bachelor’s degree is strongly preferred.
• Experience in customer service or within an inbound call center environment.
• Exceptional verbal and written communication skills.
• Strong analytical skills and attention to detail.
• Ability to exercise good judgment and a focus on achieving results.
• A genuine commitment to delivering superior patient care.
• Effective collaboration skills to work with diverse teams.
• Flexibility to accommodate rotating shifts, including weekends, between 8 AM and 8 PM.
  
  

Qualifications

• A minimum of 1 year of experience in prior authorization or insurance verification within a pharmacy context is preferred.
• Familiarity with pharmacy benefits and claims is advantageous.
  
  

Career Growth Opportunities

This role offers a pathway for professional development and advancement in a rapidly growing organization dedicated to improving healthcare access.

Company Culture And Values

We pride ourselves on fostering a dynamic, inclusive work environment where every team member is encouraged to contribute and grow. Our mission is to make medications more affordable and accessible, and we are dedicated to creating a positive impact within our communities.

Compensation And Benefits

• Full-time, on-site position in Robinson Township.
• Competitive benefits package that includes health coverage and a 401(k) plan.
• Paid holidays and opportunities for overtime.
• Casual dress code and complimentary snacks.
  
  

Why Join Us?

Seize the opportunity to be part of a transformative organization that prioritizes making a real difference in healthcare. If you are a motivated individual seeking a rewarding career that allows you to support patients in obtaining essential medications, we invite you to apply. We look forward to learning more about your qualifications.

Employment Type: Full-Time