Prior Authorization Assistant

Acara • Williamsville, NY

266d • $20

About The Position

Acara Solutions is looking for a Prior Authorization Assistant for our client in Williamsville, NY! The Prior Authorization Assistant handles triaging, logging, and follow-up of prior authorization, appeal, and grievance requests to ensure timely resolution and regulatory compliance. They also provide administrative support such as faxing, copying, filing, and preparing documents for scanning.

Requirements

• High School diploma or GED required; Associates degree preferred
• One (1) year of experience in pharmacy and/or health insurance operations preferred
• General knowledge of drug names, therapeutic categories, dosage forms, manufacturers and packaging preferred
• Familiarity with HMO concept, PC skills and pharmacy on-line system preferred
• Proven written and verbal communication skills
• Excellent organizational and time management skills
• Excellent ability to absorb new concepts and adapt to a changing environment
• Exhibit creativity and self-motivation, with ability to effectively solve problems as they arise
• Demonstration of math aptitude for purposes of calculating simple drug requirements when given doses and prices calculations

Responsibilities

• Assist Clinical Pharmacist by verifying member/provider eligibility and filing requests
• Log prior authorization requests into systems, ensuring accuracy
• Update documentation systems with decisions
• Fax and prepare requests for scanning and mailing
• Help maintain drug policies and update the policy tracker

Benefits

• $20/hr pay
• Hybrid/remote work option
• Temporary position for 3-6 months

What This Job Offers

• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED