Prior Authorization Specialist / Remote

Overview

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.

About Our Company

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Schedule

Remote

• Monday - Friday
• 8 : 30am - 5 : 00pm

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

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.

Perform all PA functions as needed.

Qualifications

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

Job Information

Seniority level : Entry level

Employment type : Full-time

Job function : Other

Industries : Pharmaceutical Manufacturing

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