Prior Authorization Specialist - 246181Medix • Pittsburgh, PA, US
Prior Authorization Specialist - 246181
Medix • Pittsburgh, PA, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionCommunicate with prescriber offices to facilitate all steps of the PA process (via phone, chat, and email) Use various technology platforms to gather, submit, and track prior authorization cases Conduct benefit verification and navigate insurance requirements for both pharmacy and medical benefits Assemble complete case files using clinical documentation like chart notes, lab results, and medication histories Troubleshoot and follow up with payers until a final determination is reached Collaborate with internal teams to ensure process efficiency and patient-first outcomes Minimum 2 years of specialty pharmacy experience with a focus on prior authorization and benefit verification Strong understanding of drug names, medical terminology, and insurance workflows Excellent verbal and written communication and customer service skills Comfortable using evolving technologies and general computer proficiency Highly organized and detail-oriented Strong time management and prioritization abilities Critical thinking and independent problem-solving skills Able to work independently while contributing positively to a collaborative team environment Investigate : Start each case with a detailed benefit verification to identify insurance requirements Communicate & Gather : Reach out to providers to collect necessary documentation Assemble & Submit : Compile "clean" cases and submit through payer portals Follow-Up & Troubleshoot : Proactively track submissions and resolve issues until final determination Help real patients get the treatments they need Be part of a mission-driven, solutions-focused team Work in a vibrant part of Pittsburgh's Strip District Stable full-time hours with a competitive hourly wage
We are seeking an energetic, detail-oriented Prior Authorization Specialist to join our team and play a key role in helping patients access life-changing specialty medications. If you're passionate about patient care and experienced in the specialty pharmacy ecosystem, we want to hear from you!
This role is 100% onsite and focused on supporting healthcare providers through the prior authorization (PA) process - from benefit verification to successful submission and follow-up.
- Job Opening : Prior Authorization Specialist
- Location : Onsite - Strip District, Pittsburgh, PA
- Pay : $22 / hour
- Schedule : Monday - Friday, 40 hours / week
- Start Date Requirement : Must be available to work on January 1, 2026 (no exceptions). Ideally looking for someone on the sooner side.
- Shift Flexibility : Between 8 : 00 AM and 6 : 00 PM (standard 8-hour shift within this window)
Key Responsibilities :
Required Background & Experience :
Preferred Skills & Competencies :
What You'll Be Doing (Day-to-Day) :
Think of this role as being the engine of the authorization process. You'll be the go-to expert who quarterbacks each case from start to finish :
Why Join Us?
Ready to Apply?
If you're experienced, motivated, and ready to make a difference in patient care, we'd love to hear from you. Apply today!
serp_jobs.job_alerts.create_a_job
Prior Authorization Specialist • Pittsburgh, PA, US
Job_description.internal_linking.related_jobs
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more Check out these higher-salaried federal law enforcement opportunities with the U.Your current or prior law enforcement experience may qualify you for this career opportunity with the nation's premi...serp_jobs.internal_linking.show_more 
We are a gambling technology company seeking talented and motivated individuals to join our team of Execution Specialists.
This is not like other job posts you have responded to.Our team thrives on ...serp_jobs.internal_linking.show_more
We’re seeking dependable individuals who want to build a side income alongside their full-time work.This role offers flexible tasks you can perform outside your regular job hours.You’ll be given st...serp_jobs.internal_linking.show_more
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more 
We use our voice, and empower you to use yours, to create positive, lasting change in people’s lives.We use our voice because we believe every person should belong and be empowered to thrive.Our ag...serp_jobs.internal_linking.show_more
Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements.
Click apply for complete details on the recruitment incentive detail...serp_jobs.internal_linking.show_more
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
Check out these higher-salaried federal law enforcement opportunities with the U.Your current or prior law enforcement experience may qualify you for this career opportunity with the nation's premi...serp_jobs.internal_linking.show_more
An Emergency Medicine locum tenens opportunity is available just south of Pittsburg, PA.The 49 bed facility sees 19K annual patients in the ED.
You can expect 25 patients a shift.Shift times are 12 ...serp_jobs.internal_linking.show_more Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more 
Apply HERE Only FAR Inspections is looking for highly motivated individuals to perform residential occupancy verifications on behalf of mortgage lenders.
Independent contractors earn predictable ful...serp_jobs.internal_linking.show_more We are a gambling technology company looking for individuals to join our focus group on an ongoing, part-time basis.You will earn $800 to $1,200 for about 20 hours of participation, with opportunit...serp_jobs.internal_linking.show_more 
The Physician Assistant provides comprehensive medical care to inmates under the supervision of medical leadership.Responsibilities include evaluating and treating acute and emergency complaints, p...serp_jobs.internal_linking.show_more
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
U.S. Border Patrol Agent
US Customs and Border Protection • Allegheny Twp, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Border Patrol Agent - Experienced (GL9 / GS11)
US Customs and Border Protection • Claysville, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Execution Specialist
Reeledge • Claysville, Pennsylvania, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Side Hustle Specialist (Evenings & Weekends)
Finance Buzz • Waynesburg, Pennsylvania, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
United States Border Patrol Agent
US Customs and Border Protection • Waynesburg, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives
U.S. Customs and Border Protection • Waynesburg, Pennsylvania, 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
Border Patrol Agent
US Customs and Border Protection • Claysville, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Paralegal 2025 - West Region : Butler, Greene, Fayette, Lawrence, Mercer, Venango, Washington Counties
Voce • Waynesburg, PA, United States
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Special Agent, $40,000 Recruitment Incentive
The United States Secret Service • Verona, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
U.S. Border Patrol Agent
U.S. Customs and Border Protection • Washington, Pennsylvania, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Border Patrol Agent - Experienced (GL9 / GS11)
U.S. Customs and Border Protection • Laboratory, PA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Physician / Emergency Medicine / Pennsylvania / Locum tenens / Physician / Emergency Medicine
Randstad Healthcare • Waynesburg, PA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives
US Customs and Border Protection • Claysville, PA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Mortgage Field Services Inspector
FAR Inspections • Waynesburg, PA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
Focus Group
Reeledge • Wind Ridge, Pennsylvania, United States
serp_jobs.job_card.part_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Physician Assistant (PA) Hourly
Wellpath • Waynesburg, PA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Border Patrol Agent
U.S. Customs and Border Protection • Claysville, Pennsylvania, US
serp_jobs.job_card.permanent
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
United States Border Patrol Agent
U.S. Customs and Border Protection • Slovan, Pennsylvania, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted