Demo

Prior Authorization Specialist in Pharmacy (ON SITE)

Get It - Transportation
Pittsburgh, PA Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 3/20/2025
Job Overview

Join our esteemed organization as a Pharmacy Prior Authorization Specialist, where you will play a pivotal role in facilitating patient access to essential medications. This full-time, on-site position is ideal for those who are detail-oriented and possess a strong customer service orientation. Become part of a supportive team dedicated to making healthcare more accessible while fostering your professional development.

Key Responsibilities

  • Initiate and manage prior authorization requests with healthcare providers.
  • Accurately identify and procure the appropriate prior authorization forms for various insurance providers.
  • Collaborate with prescribers and medical offices to ensure the timely completion of prior authorization documentation.
  • Proactively follow up with medical offices regarding the status of prior authorization requests.
  • Communicate updates on prior authorization statuses to both patients and providers.
  • Coordinate with medical offices to handle appeals effectively.
  • Address internal inquiries related to prior authorization processes.

Required Skills

  • Outstanding verbal and written communication capabilities.
  • Proficient technical skills paired with strong analytical abilities.
  • Exceptional attention to detail and sound judgment.
  • Strong operational focus with a customer-centric mindset.
  • Ability to collaborate effectively within a team environment.
  • Flexibility to work various shifts, including hours from 8 AM to 8 PM and rotational Saturdays.

Qualifications

  • High school diploma or GED is required; a Bachelor’s degree is strongly preferred.
  • Previous experience in customer service or inbound call centers is essential.
  • A minimum of one year of experience with prior authorizations or insurance verification in a pharmacy setting is advantageous.
  • Familiarity with pharmacy benefits and claims is preferred.

Career Growth Opportunities

This position offers significant potential for professional advancement. You will have the opportunity to enhance your expertise in prior authorizations and insurance verification, preparing you for future career prospects within the healthcare industry.

Company Culture And Values

Join a passionate team dedicated to improving patient well-being and healthcare accessibility. Our organization values collaboration, integrity, and commitment to excellence, ensuring a supportive environment where employees are empowered to make meaningful contributions.

Networking And Professional Opportunities

Become part of a dynamic network of healthcare professionals. This role provides avenues for collaboration and skill development, allowing you to build valuable connections within the industry.

Compensation And Benefits

  • Full-time, on-site employment with competitive salary.
  • Comprehensive health benefits and a 401(k) plan.
  • Paid holidays and overtime opportunities.
  • Casual dress code and free snacks to promote a comfortable work atmosphere.

Employment Type: Full-Time

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