Prior Authorization Specialist

OSF HealthCare • Peoria, IL

1d • $19 - $22 • Hybrid

About The Position

The Prior Authorization Specialist in the OSF Medication Prior Authorization department is responsible for receiving new medication authorization requests and accurately initiating these requests. Works collaboratively with patients, caregivers, providers, pharmacies, office staff and insurance companies to ensure that patient care needs are met regarding medication prior authorizations. The Specialist impacts the clinical and financial risk to the organization when obtaining insurance precertification or authorization.

Requirements

• High School/GED
• 1 year of experience in a clinical environment or medical insurance setting.
• Excellent interpersonal and communication skills.
• Solid computer skills, including proficiency with Microsoft software.

Nice To Haves

• Demonstrated knowledge of patient care activities as well as provider practice office
• Electronic health record experience, especially the ambulatory module within EPIC
• CMA, MOA, or the equivalent (CNA, CPhT, or similar).
• Accurate typing speed of at least 35 words per minute.
• Proven organizational skills in coordinating services with co-workers and other departments/services.
• Responds to stressful situations in a calm, rational manner and cooperates with all to facilitate integrated patient care that exceeds expectation.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees