Pharmacy Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist to manage the initiation and submission of prior authorizations for medications and supplies.

Key Responsibilities

• Initiate, process, and oversee the clinical review of prior authorization requests, ensuring compliance with payer requirements
• Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information for prior authorization submissions
• Submit prior authorization requests accurately and timely using electronic submission platforms

Required Qualifications

• High School Diploma or GED, or licensed/registered pharmacy technician, or previous experience in Pharmacy
• 1+ years of pharmacy experience
• Knowledge of pharmacy or healthcare-related terminology
• Basic math and analytical skills
• Intermediate typing/keyboard skills