Prior Authorization & Medication Access SpecialistPremier Community Healthcare Grp. • New Port Richey, Florida, United States, 34653
Prior Authorization & Medication Access Specialist
Premier Community Healthcare Grp. • New Port Richey, Florida, United States, 34653
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
- serp_jobs.filters_job_card.quick_apply
job_description.job_card.job_descriptionPharmacy Technician Registration (PTR) for the state of Florida is required Minimum of 5 years of healthcare or pharmacy experience Minimum of 2 years' experience in processing prior authorizations Knowledge of 340B program compliance and operational workflows in clinical settings . Familiarity with medication adherence practices and health coaching techniques. Preferred experience working with pharmacy benefit managers (PBMs) on medication synchronization, MTM (Medication Therapy Management), and refill protocols. Initiate, complete, and track prior authorization (PA) requests for prescribed medications, collaborating with providers and third party payors. Monitor high margin and high denial medications to identify opportunities for cost savings and intervention. Conduct outreach to patients due or overdue for prescription refills to encourage timely medication pick-up and adherence. Assist patients with scheduling provider appointments needed for medication renewals or therapy follow-up. Track refill request trends and report adherence barriers (e.g., cost, transportation, understanding) to the care team for resolution. Document interventions and communications in the electronic health record (EHR) and pharmacy systems. Assists the pharmacist in the preparation, filling, and delivery of medications and other tasks associated with dispensing. Ensure confidentiality and HIPAA compliance at all times Keep other care team members informed when situations occur that disrupt timely patient flow through site. Contribute to community give back initiatives and be an advocate for Premier’s mission Adhere to patient care needs and the core values of Premier Community HealthCare to provide best-in-class patient experience Work towards attaining department goals and drive Quality Improvement / Quality Assurance (QI / QA) Other duties as assigned Ability to build trust and encourage medication adherence through empathetic dialogue. Support patients in accessing care, medications, and appointments effectively Drive cost savings through data-informed medication and pharmacy network usage. Ability to track workflows, meet performance targets, and improve processes. Maintains a professional relationship and positive attitude with co-workers, patients, the entire organization, and the public. Maintains the highest professional work ethics. Displays enthusiasm toward the work, mission, and vision of the organization. Exceptional customer service skills and demonstration of empathy and compassion to a diverse patient population. Ability to communicate effectively, verbally and in writing with multiple levels within the organization. Excellent grammar, spelling and interpersonal skills. Exhibits honesty and ethical conduct, maintaining confidentiality and upholding Premier Community HealthCare's values in all interactions. High School Diploma or equivalent required. Pharmacy Technician registration for the state of Florida required National Pharmacy Certification (CPhT) preferred. Minimum of 5 years of pharmacy technician or healthcare access experience; FQHC experience is a plus. Minimum of 2 years’ experience in processing prior authorizations and working with pharmacy benefit managers (PBMs) on medication synchronization, MTM, or refill protocols preferred. Knowledge of 340B program compliance and operational workflows in clinical settings. Familiarity with medication adherence practices and health coaching techniques. Proficiency with EHR, pharmacy software, scheduling systems, patient portal and insurance verification platforms Bilingual preferred Obtain and maintain Epic certification / annual compliance throughout employment Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally. Ability to sit for long periods of time. Direct exposure to computer screen. May be exposed to contagious / infectious diseases.
Join the Premier Team – Where Passion Meets Purpose!
Premier Community HealthCare is a nonprofit Federally Qualified Health Center (FQHC) dedicated to providing high-quality, compassionate care to the communities of Pasco and Hernando Counties. Our services include Family Medicine, Pediatrics, Women’s Health, Dental, Behavioral Health, and more.
We are currently seeking a Full-Time Prior Authorization Medication Access Specialist to join our dedicated team in New Port Richey, FL . This position plays a crucial role in supporting patient access to essential medications by coordinating prior authorizations and assisting with medication-related resources.
✅ Why Choose Premier?
- Full-Time Opportunity – Consistent schedule and full benefits
- Patient Support Role – Help patients access the medications they need
- Collaborative Team – Work closely with providers, pharmacies, and care teams
- Mission-Driven Organization – Serve vulnerable populations and improve health outcomes
- Growth Environment – Be part of a supportive team focused on continuous improvement
✅ Qualifications :
Join us and help make life-saving medications more accessible to our patients—one authorization at a time!
The Prior Authorization & Medication Access Specialist supports the pharmacy department’s strategic goals of enhancing medication access, promoting adherence, and maximizing 340B savings for the organization. This role ensures timely processing of prior authorizations, assists with medication refill appointments, and proactively supports adherence initiatives for Premier patients. Working closely with prescribers, patients, pharmacy staff, and care team members, the technician helps eliminate access barriers while strengthening operational and financial performance.
Essential Duties and Responsibilities :
Supervisory responsibilities : None
Knowledge, Skills and Abilities :
Qualifications :
Working conditions and physical requirements :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
PI278969983
serp_jobs.job_alerts.create_a_job
Prior Authorization Specialist • New Port Richey, Florida, United States, 34653
Job_description.internal_linking.related_jobs
If you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details.
Paid malpractice insurance; pre-paid travel and housing expenses....serp_jobs.internal_linking.show_more
A company is looking for a Lead Centralized Scheduler.Key Responsibilities Serve as a subject matter expert in patient access and scheduling, providing training and support to staff Adjust staff...serp_jobs.internal_linking.show_more A company is looking for a Payer EDI Pharmacy Specialist to support healthcare data exchange initiatives.Key Responsibilities Serve as the expert on National Council for Prescription Drug Program...serp_jobs.internal_linking.show_more A company is looking for a Patient Access Services Authorization Representative.Key Responsibilities Obtain and complete insurance authorization requests for scheduled exams Verify insurance eli...serp_jobs.internal_linking.show_more A company is looking for a Remote Intake Specialist.Key Responsibilities Manage incoming referrals and ensure all required documents and orders are complete Process new patient intakes and condu...serp_jobs.internal_linking.show_more A company is looking for a Pre-Registration Specialist responsible for managing the pre-registration team and ensuring accurate patient insurance verification.
Key Responsibilities Contact insuran...serp_jobs.internal_linking.show_more A company is looking for a Remote Pharmacy Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Handle inbound / outbound cal...serp_jobs.internal_linking.show_more A company is looking for a Remote Medical Insurance Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Handle inbound / outbound calls to patients...serp_jobs.internal_linking.show_more A company is looking for an Insurance Claims Specialist - HB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim ...serp_jobs.internal_linking.show_more A company is looking for a Representative II.Key Responsibilities Utilize multiple software systems to complete Medicare Prior Authorization case reviews Meet or exceed government mandated timel...serp_jobs.internal_linking.show_more A company is looking for a Prior Authorization Specialist.Key Responsibilities Act as the internal expert on prior authorization workflows and payer requirements Collaborate with product teams t...serp_jobs.internal_linking.show_more A company is looking for an Intake Solutions Specialist who supports clinical, technical, and provider teams by processing prior authorization requests for medical and pharmacy services.Key Respons...serp_jobs.internal_linking.show_more A company is looking for a Referral / Pre-Auth Specialist for a full-time remote position.Key Responsibilities Process and document referral or prior authorization requests from clinical areas Man...serp_jobs.internal_linking.show_more A company is looking for a Remote Prior-Authorization Specialist.Key Responsibilities Handle prior-authorizations and insurance verification Communicate with patients, providers, and insurance p...serp_jobs.internal_linking.show_more A company is looking for an Authorization Specialist (Remote in Wisconsin / Michigan).Key Responsibilities Review patient medical records to determine the necessity of prior authorization for treat...serp_jobs.internal_linking.show_more A company is looking for a Remote Authorization Specialist responsible for obtaining and maintaining prior authorization status for patient medications and therapies.
Key Responsibilities Obtain a...serp_jobs.internal_linking.show_more A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Perform outbound and inbound calls to assist patients and healthcare providers Review and process...serp_jobs.internal_linking.show_more 
ObGyn physician job in Florida : This position is in an attractive community an hour outside of Tampa, combining the charm of a small town with the convenience of the big-city amenities nearby.Your...serp_jobs.internal_linking.show_more
Urologist Is Needed for Locum Tenens Help in Oregon
HealthEcareers - Client • Northern, OR, USA
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Missouri Licensed Patient Access Lead
VirtualVocations • Largo, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pharmacy EDI Specialist
VirtualVocations • Tampa, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Healthcare Authorization Representative
VirtualVocations • Tampa, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Florida Licensed Intake Specialist
VirtualVocations • Largo, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Pre-Registration Specialist
VirtualVocations • Largo, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote Pharmacy Insurance Specialist
VirtualVocations • Clearwater, Florida, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Medical Insurance Specialist
VirtualVocations • Largo, Florida, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Insurance Claims Specialist
VirtualVocations • Clearwater, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medicare Authorization Representative
VirtualVocations • Tampa, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Prior Authorization Specialist
VirtualVocations • Tampa, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Intake Solutions Specialist
VirtualVocations • Clearwater, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Referral / Pre-Auth Specialist
VirtualVocations • Tampa, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Texas Licensed Medical Insurance Specialist
VirtualVocations • Clearwater, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Authorization Specialist
VirtualVocations • Tampa, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote Authorization Specialist
VirtualVocations • Largo, Florida, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Insurance Verification Specialist
VirtualVocations • Clearwater, Florida, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
ObGyn
CompHealth • Zephyrhills, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted