Medication Authorization Specialist

Winchester Cardiology and Vascular Medicine•Winchester, VA

6d•$18 - $22•Onsite

About The Position

The Medication Authorization Specialist supports patient care by ensuring timely access to medications and managing administrative processes that support treatment and continuity of care. The role works with providers, staff, pharmacies, and third-party organizations to coordinate detailed workflows, reduce delays in care, and help patients advance their treatment plans. The position is onsite Monday through Friday, 8:00 AM to 4:30 PM. The hourly base pay range is $17.82–$21.50, with starting pay determined by job-related skills, experience, education, and qualifications. Winchester Cardiology offers eligible employees a comprehensive benefits package. Employees must comply with company protocols regarding COVID-19 and other infectious diseases, including vaccination policies, safety measures, and additional health protocols. Winchester Cardiology and Vascular Medicine is an Equal Opportunity Employer, provides reasonable accommodations during the application and employment process, and participates in E-Verify.

Requirements

High school diploma or equivalent.
At least one year of experience working in a medical office, clinic, or healthcare setting.
Strong understanding of insurance processes and prior authorization requirements.
Ability to manage high-volume administrative workflows accurately.
Proficiency in EMR documentation.
Excellent communication with patients, providers, staff, pharmacies, and insurance companies.
Exceptional organizational skills and ability to manage multiple tasks and deadlines.
Strong understanding of HIPAA guidelines and ability to maintain strict confidentiality and privacy of patient information.
Ability to lift and carry up to 50 lbs.
Ability to sit at a desk for extended periods, up to 8 hours per day.
Ability to use a computer and standard office equipment for extended periods, up to 8 hours per day.
Ability to work onsite Monday through Friday.

Nice To Haves

Epic experience.
Previous experience with medical terminology, ICD coding, medication knowledge, and pharmacy insurance benefit information.
Previous experience using EMR systems.

Responsibilities

Manage medication prior authorizations and appeals for physicians and Advanced Practice Providers by coordinating requests from multiple channels, prioritizing by urgency, and communicating status updates.
Coordinate patient financial assistance applications, including obtaining documentation and signatures and tracking returned documents for timely submission.
Complete administrative forms such as FMLA, disability, and DMV forms by obtaining patient authorizations, preparing documentation for provider review, securing signatures, and communicating status and next steps to patients; complete them within the established two-week turnaround time.
Review and prioritize in-basket messages in the Urgent, Scripts, and Clinical categories at morning, midday, and afternoon intervals.
Serve as liaison for pharmaceutical representatives by maintaining a current directory, coordinating onsite visits and educational lunches, and supporting physicians, APPs, and staff during sessions.
Monitor medication sample inventory, coordinate replenishment with pharmaceutical representatives, maintain organized storage, and dispose of expired medications according to organizational policies.
Track clinic inventory and supplies and order supplies as needed to maintain standard inventory counts.
Routinely verify expiration dates on emergency (Code) carts and coordinate timely replacement of expired items.