Prior Authorization Specialist

Curant Health•Smyrna, GA

2h•Onsite

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 takes inbound calls from providers, pharmacy benefit managers (PBMs), and other callers, providing assistance throughout the prior authorization process. The role includes documenting approvals and denials, assisting physician groups with prior authorization requests and appeals, communicating authorization status to patients and providers, and coordinating with internal teams to resolve appeals and exceptions. The specialist also handles outbound calls, inquiries, administrative support, and backup coverage while following applicable departmental, company, state, and federal requirements. Clinical questions and judgment calls are transferred to a pharmacist.

Requirements

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

Responsibilities

Take inbound calls from providers, PBMs, 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.
Assist physician groups in initiating prior authorizations, follow up with PBMs, and initiate appeals when applicable.
Make outbound calls and monitor and respond to inquiries, along with other duties assigned by the Patient Services Manager.
Manage work volume from inception to delivery while using courteous and professional behavior in accordance with established standards.
Comply with departmental, company, state, and federal requirements when processing information to ensure accuracy for internal and external customers.
Manage written or formal communications to patients and providers regarding prior authorization status.
Communicate with Patient Care Coordinators and other internal teams to resolve appeals and exceptions in a timely manner.
Provide general administrative support as assigned by the manager.
Provide backup support to team members as needed.