Prior Authorization Specialist

Amerita

This role will be responsible for verifying patient medical and pharmacy coverage, investigating authorization requirements, and facilitating patient copay card assistance based on eligibility criteria.

Schedule:
Monday - Friday
11:00am - 6:00pm CST

We Offer:

* Competitive Pay

* 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

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.

• 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