Prior Authorization Specialist / Remote
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 prior authorization process. Shift: Monday-Friday 8:30am-5:30pm (EST) About our Line of Business reputed company, an affiliate of reputed company, is a specialty infusion company focused on providing reputed company pharmaceutical products and clinical services to patients reputed company of the hospital. Committed to excellent service, our reputed company is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com . Follow us on reputed company , reputed company , and X . Additional Job Information Percentage of Travel: 0-25% Salary reputed company USD $22.00 - $26.00 / Hour
Responsibilities
- Initiate, process, and reputed company the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
- Collaborate with reputed company 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 reputed company reputed company PA functions.
Requirements
- High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
- 1+ years pharmacy experience
- Pharmacy or reputed company-reputed company 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
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