Prior Auth Support Specialist (Non-Clinical)

PrescriberPoint

3d•$70 - $85•Remote

About The Position

This role supports provider offices, internal operations, and clinical teams by driving the execution layer of prior authorization and referral workflows. The focus is purely operational: documentation requirements, follow-up, routing, and closing loops so work progresses without delay. This role is for someone who can ramp into complex workflows, manage multiple active workstreams, and deliver consistent outcomes with minimal oversight.

Requirements

5+ years of hands-on prior authorization experience — beyond general call center or data entry work
Direct experience in either a hospital/clinic central authorization function OR pharmacy technician role with dedicated PA and insurance specialization
Demonstrated understanding of both medical and pharmacy benefit PA workflows at the documentation and execution level
Experience navigating PBM requirements including coverage criteria, benefit verification, and authorization documentation standards
Proven ability to communicate with provider offices via phone and email — navigating gatekeepers, call trees, and office workflows to move documentation forward
Strong documentation discipline: accurate, timely case tracking with notes, outcomes, timestamps, and next steps
HIPAA compliance knowledge and scope discipline
Eastern Time Zone — non-negotiable
High school diploma or GED required

Nice To Haves

PTCB/CPhT certification
Pharmacy technician background with dedicated PA and insurance specialization
Experience with specialty workflows and complex payer back-and-forth
HubSpot or comparable CRM workflow tool experience
Hospital or clinic central authorization experience supporting provider offices across benefits, PA, and documentation workflows
PTCB/CPhT strongly preferred

Responsibilities

Execute PA and referral workflows end-to-end: documentation follow-up, routing, and loop closure with provider offices
Drive work forward by identifying next steps, obtaining missing information, and preventing case stalls
Communicate clearly and professionally with provider office staff via phone and email
Support clinical teams by reducing administrative burden — gather missing documentation, route questions appropriately
Maintain accurate, timely documentation in HubSpot and operational tracking tools
Identify recurring friction points and contribute actionable feedback to strengthen SOPs
Operate strictly within scope — workflow, documentation, process, and follow-up only