Pharmacy Insurance Authorization Specialist - 25 Hope Dr Pharmacy

Penn State Milton S. Hershey Medical CenterHershey, PA
45dOnsite

About The Position

The Pharmacy Insurance Authorization Specialist must demonstrate clinical expertise in handling complex therapies, excellent communication skills, and a commitment to providing patient-centered care. The position plays a vital role in managing high-risk, high-cost medications, ensuring that patients receive timely access to therapies while maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement queues and assists patients, physicians and pharmacists in the completion of: claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Penn State Health Pharmacy patients.

Requirements

  • High School Diploma or equivalent required.
  • Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required.

Nice To Haves

  • Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers preferred.

Responsibilities

  • claim adjudication/review
  • benefit investigations
  • financial assistance applications
  • refill/adherence activities

Benefits

  • Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.
  • Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:
  • Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
  • Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
  • Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
  • Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
  • Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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