Prior Authorization Specialist

Hawai'i Island Community Health CenterHilo, HI
$21 - $28Onsite

About The Position

Hawaiʻi Island Community Health Center is seeking a compassionate, detail-oriented Prior Authorization Specialist to join our Clinical Pharmacy team. In this vital role, you will work closely with pharmacists, providers, insurance companies, specialty pharmacies, and patients to coordinate medication approvals and ensure timely access to prescribed therapies.

Requirements

  • Strong organizational and communication skills
  • Excellent customer service and problem-solving abilities
  • Computer proficiency and attention to detail
  • High School diploma or GED required
  • Ability to obtain Hawaiʻi Pharmacy Technician registration within 90 days of hire

Nice To Haves

  • Pharmacy, insurance, or prior authorization experience preferred

Responsibilities

  • Submit and manage medication prior authorizations through insurance portals and electronic health record systems.
  • Coordinate medication access for specialty and high-cost therapies.
  • Collaborate with providers, pharmacists, infusion centers, and pharmacies to resolve coverage and reimbursement issues.
  • Help patients navigate insurance requirements and medication access challenges.
  • Support a patient-centered team committed to improving health outcomes across Hawaiʻi Island.
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