Prior Authorization Specialist
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Job Description
Prior Authorization Specialist managing medication and supply approvals for Amerita, a specialty infusion company. Reviewing clinical documentation and coordinating submissions with providers, insurers, and patients.
Responsibilities:
- Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply
- Ensure compliance with payer requirements and clinical guidelines
- Collaborate with healthcare providers, insurance companies, and patients to gather clinical information and documentation
- Submit prior authorization requests accurately and in a timely manner using electronic submission platforms
- Follow established prior authorization protocols
- Perform all prior authorization functions
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
- Working knowledge of pharmacy benefits and prior authorization process
- Ability to work Monday–Friday, 9:30am–6:30pm CST
Benefits:
- 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
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