Medication Authorization Specialist

Beacon Behavioral Partners•Tampa, FL

5h•$18 - $20•Onsite

About The Position

The Medication Refill & Prior Authorization Coordinator coordinates medication refill requests and completes prior authorizations to help patients access prescribed medications in a timely manner. The role works with patients, providers, pharmacies, and insurance companies to facilitate requests, resolve authorization issues, and communicate prescription-status updates. The ideal candidate is organized, dependable, detail-oriented, and able to manage a high volume of requests accurately while protecting patient confidentiality. This is a full-time, 40-hour-per-week, in-office position that may be based at any of five designated practice locations: St. Petersburg, Brandon, Palm Harbor, Wesley Chapel, or Tampa, Florida.

Requirements

High school diploma or equivalent required.
Organized, dependable, and detail-oriented, with the ability to manage a high volume of requests while maintaining accuracy and patient confidentiality.
Strong attention to detail when processing medication and insurance information.
Ability to manage multiple refill and authorization requests, track outstanding requests, and follow up through completion.
Clear and professional communication with patients, providers, pharmacies, and insurance companies.
Ability to work through routine medication coverage and authorization issues efficiently.
Ability to handle protected health information appropriately and follow HIPAA requirements.
Ability to collaborate with providers, clinical staff, pharmacies, and administrative teams.

Nice To Haves

Previous experience in a healthcare, behavioral health, pharmacy, medical office, or similar setting preferred.
Experience processing medication prior authorizations or prescription refill requests strongly preferred.
Experience communicating with insurance companies and pharmacies is a plus.

Responsibilities

Receive and process incoming medication refill requests.
Review refill requests for completeness and route them to the appropriate provider for review and approval.
Communicate with pharmacies, patients, and clinical staff about refill requests and prescription status.
Follow up on pending refill requests to help ensure timely resolution.
Document refill requests and related communications accurately in patient records.
Initiate and complete insurance prior authorizations for prescribed medications.
Submit required clinical and insurance information to insurance companies and pharmacy benefit managers.
Track pending medication authorizations and follow up with payers as needed.
Communicate authorization approvals, denials, and requests for additional information to providers or clinical staff.
Assist with authorization renewals for medications requiring continued insurance approval.
Help troubleshoot insurance coverage issues that may delay patients from receiving medications.
Serve as a point of contact for medication refill and authorization questions.
Communicate professionally and compassionately with patients about request status.
Coordinate with pharmacies regarding refill issues, insurance requirements, and authorization status.
Work with providers and clinical staff to obtain information needed to complete requests.
Maintain accurate and timely documentation in the electronic medical record and other applicable systems.
Protect patient confidentiality and comply with HIPAA requirements and organizational policies and procedures.
Maintain organized records of outstanding requests and follow-up needs.
Assist with related administrative responsibilities and perform other duties as assigned.