Prior Authorization Specialist

Curant Health•Smyrna, GA

13h

About The Position

Curant Health is seeking a Prior Authorization Specialist to join its team in Smyrna, Georgia. Curant Health provides patient-centric chronic disease management through specialty pharmacy, including pharmacist-managed medication care, therapeutic monitoring, and home delivery of prescription drugs. The specialist supports patients, providers, pharmacy benefit managers, and internal teams throughout the prior authorization process. The role requires accurate and timely documentation, professional communication, and escalation of clinical questions and judgment calls to a pharmacist. The position also provides administrative and backup support as assigned.

Requirements

High school diploma or equivalent.
One year of experience.
Registered Pharmacy Technician.

Responsibilities

Take inbound calls from providers, pharmacy benefit managers, and other callers, and provide phone assistance through the prior authorization process.
Maintain complete, timely, and accurate documentation of approvals and denials.
Transfer clinical questions and judgment calls to the pharmacist.
Help physician groups initiate prior authorizations, follow up with pharmacy benefit managers, and initiate appeals when applicable.
Make outbound calls, monitor and respond to inquiries, and perform other duties as assigned by the Patient Services Manager.
Manage work volume from inception to delivery and behave courteously and professionally in accordance with established standards.
Comply with departmental, company, state, and federal requirements when processing information to ensure its accuracy for internal and external customers.
Prepare written or formal communications to patients and providers about prior authorization status.
Communicate with Patient Care Coordinators and other internal teams to resolve appeals and exceptions promptly.
Provide general administrative support and backup support to team members as assigned.