Medication Prior Authorization Analyst -- Pharmacy Administration -- General Hospital

CAMC Health System • Charleston, WV

3d

About The Position

Oversees medication prior authorizations and obtains the information needed to complete the authorization process. Collects and submits authorization requests and required documentation to the appropriate insurance company, and identifies medication financial assistance when appropriate.

Requirements

• High school diploma or GED.
• Two years of healthcare experience or similar work experience.

Nice To Haves

• One year of prior authorization experience.

Responsibilities

• Review prescriptions daily to determine whether prior authorization is necessary.
• Develop rapport with insurance providers and other third-party payers to support good working relationships.
• Use insurance portals and other systems to verify active insurance coverage.
• Correspond with insurance companies to obtain information relevant to prior authorization requirements.
• Monitor authorization status.
• Respond appropriately to authorization denials.
• Perform clerical duties as necessary, including composing letters or making phone calls to patients, insurance companies, and referring providers.
• Identify financial assistance available to help patients with medication coverage.
• Work with clinics on the availability of the provided service.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED