Prior Authorization Specialist
Amerita•Littleton, CO
•$22 - $30•Onsite
About The Position
This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow-up of prior authorizations. This role requires working knowledge of pharmacy benefits and the prior authorization process.
Requirements
- High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
- 1+ years pharmacy experience
- Pharmacy or healthcare-related knowledge
- Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
- Basic math and analytical skills
- Intermediate typing/keyboard skills
Responsibilities
- Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
- Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
- Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
- Knowledgeable to perform all PA functions.
Benefits
- Health, Dental, Vision & Life Insurance
- Company-Paid Short & Long-Term Disability
- Flexible Schedules & Paid Time Off
- Tuition Reimbursement
- Employee Discount Program & DailyPay
- 401k
- Pet Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
