Pharmacy Prior Authorization Specialist

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