Demo

ON SITE Pharmacy Authorization Specialist

Get It - Transportation
Boise, ID Full Time
POSTED ON 2/6/2025
AVAILABLE BEFORE 3/7/2025
Job Title: Pharmacy Prior Authorization Specialist (On-Site)

Job Overview

Join our innovative team as a Pharmacy Prior Authorization Specialist, where your compassionate efforts will play a critical role in ensuring patients gain access to affordable medications. If you have a true passion for patient care and excel in dynamic environments, this position offers an opportunity to make a significant impact.

Key Responsibilities

  • Initiate new prior authorization requests to healthcare providers.
  • Identify the appropriate prior authorization forms required for each patient’s insurance provider.
  • Collaborate with prescribers and medical offices to ensure accurate information is documented on prior authorization forms.
  • Follow up proactively with medical offices regarding the status of prior authorization requests.
  • Communicate the status of prior authorizations effectively to both patients and providers.
  • Coordinate with medical offices to manage appeals of denied prior authorizations.
  • Respond to inquiries from other departments regarding prior authorization requests.

Required Skills

  • Excellent verbal and written communication abilities.
  • Strong technical aptitude, analytical skills, and meticulous attention to detail.
  • Good judgment and a strong operational focus are essential.
  • A commitment to delivering high-quality patient care.
  • Ability to collaborate effectively in a team-oriented environment.
  • Flexibility to work shifts between 8 AM and 8 PM.

Qualifications

  • A high school diploma or GED is required; a Bachelor's degree is strongly preferred.
  • Customer service or inbound call center experience is essential; 1 years' experience in prior authorizations or insurance verification within a pharmacy setting is preferred.
  • Familiarity with pharmacy benefits and claims is a plus.

Career Growth Opportunities

As part of the fastest-growing healthcare technology firm in the nation, this role presents exceptional potential for career advancement and professional development.

Company Culture And Values

Experience a collaborative and innovative work environment where we are redefining processes in the prescription drug sector. We value diversity and are committed to creating an inclusive workplace for all.

Compensation And Benefits

  • Comprehensive benefits package, including health coverage and a 401(k) plan.
  • Holiday pay and free snacks to enhance your work experience.
  • Opportunities for overtime when available to increase your earning potential.
  • Enjoy a full-time, on-site role in the vibrant city of Boise.

Employment Type: Full-Time

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