Prior Authorization Pharmacy Specialist (ON SITE)

Job Overview

Become a vital part of our healthcare team as a Pharmacy Prior Authorization Specialist. In this essential role, you will advocate for patients by facilitating their access to necessary medications through the prior authorization process. Your contributions will significantly impact healthcare outcomes and enhance the lives of those we serve.

Key Responsibilities

• Initiate and manage prior authorization requests for patients.
• Identify and secure the correct prior authorization forms for various insurance providers.
• Collaborate closely with prescribers and medical offices to ensure timely completion of prior authorization documentation.
• Monitor and follow up on the status of prior authorization requests with medical offices.
• Keep patients and providers informed about the status of prior authorization requests.
• Assist with appeals by coordinating efforts with medical offices as needed.
• Address internal inquiries regarding prior authorization processes.
  
  

Required Skills

• Strong verbal and written communication skills.
• Excellent analytical abilities and attention to detail.
• Solid technical skills and operational focus.
• Good judgment and the ability to work effectively within a team environment.
• Flexibility to work varied shifts, including evenings and rotational weekends.
  
  

Qualifications

• High school diploma or GED is required; a Bachelor’s degree is strongly preferred.
• Prior experience in customer service or an inbound call center is necessary.
• A passion for providing outstanding patient care is essential.
• Preferred: 1 year of experience with prior authorizations or insurance verification in a pharmacy setting.
• Preferred: Familiarity with pharmacy benefits and claims processes.
  
  

Career Growth Opportunities

Join our organization and take advantage of the opportunity to refine your skills in prior authorizations and insurance verification. This role is designed to provide you with professional development in a supportive and dynamic healthcare environment.

Company Culture And Values

We pride ourselves on fostering a collaborative and supportive work culture. You will be part of a team committed to making healthcare more affordable and accessible, where your dedication and expertise are not only recognized but valued.

Compensation And Benefits

• This position is full-time and on-site.
• Rotational shifts will be between 9 AM and 8 PM, including occasional Saturdays from 9 AM to 5 PM.
• Comprehensive health benefits and a 401(k) plan are included.
• Enjoy holiday pay, overtime opportunities, and a casual dress code.
• Free snacks to keep you energized throughout the day.
  
  

Employment Type: Full-Time