Prior Authorization Specialist / Remote
About the position Responsibilities • 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. 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 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 Apply tot his job