3 Jobs in Perth Amboy, NJ
HarborX Pharmacy is Hiring a Prior Authorization Specialist Near Perth Amboy, NJ
Job Description
Position Overview: We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. The ideal candidate will have a strong background in pharmacy operations, prior authorization processes, and excellent communication skills. As a Prior Authorization Specialist, you will play a critical role in ensuring that patients receive timely approvals for medications, navigating insurance requirements, and collaborating with healthcare providers to optimize patient care.
Responsibilities:
- Review prior authorization requests for medications to ensure completeness and accuracy.
- Communicate with healthcare providers, insurance companies, and patients to gather necessary information for prior authorization submissions.
- Verify insurance coverage and determine prior authorization requirements.
- Complete and submit prior authorization forms according to insurance guidelines and requirements.
- Follow up on prior authorization requests to ensure timely approvals and resolution of any issues or denials.
- Maintain accurate documentation of prior authorization activities and outcomes.
- Collaborate with pharmacists, physicians, and other healthcare professionals to optimize medication therapy management and patient outcomes.
- Stay updated on changes in insurance regulations and prior authorization guidelines.
Qualifications:
- High school diploma or equivalent required; Bachelor's degree preferred.
- Minimum of 2 years of experience working as a Prior Authorization Specialist in a pharmacy or healthcare setting.
- Strong knowledge of pharmacy operations, medication terminology, and insurance processes.
- Familiarity with electronic health records (EHR) and pharmacy management systems.
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Attention to detail and strong organizational skills.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Preferred Qualifications:
- Certification as a Pharmacy Technician (CPhT) or similar credential.
- Experience working with prior authorization software systems.
- Knowledge of Medicare, Medicaid, and commercial insurance plans.
Benefits:
- Competitive salary commensurate with experience.
- Paid time off and holiday pay.
- Opportunities
Job Summary
Full Time
$42k-52k (estimate)
06/23/2024
07/09/2024
The following is the career advancement route for Prior Authorization Specialist positions, which can be used as a reference in future career path planning. As a Prior Authorization Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Prior Authorization Specialist. You can explore the career advancement for a Prior Authorization Specialist below and select your interested title to get hiring information.
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.
