Talent.com
Prior Authorization Specialist / Remote

Prior Authorization Specialist / Remote

BrightSpring Health ServicesIrving, TX, United States
1 day ago
Job type
  • Full-time
  • Remote
Job description

Prior Authorization Specialist / Remote

Job Locations

US-TX-IRVING

ID

2025-176255

Line of Business

Amerita

Position Type

Full-Time

Pay Min

USD $21.00 / Hr.

Pay Max

USD $26.00 / Hr.

Our Company

Amerita

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.

Schedule : Monday - Friday

8 : 30am - 5 : 00pm

  • 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.
  • Knowledgeable to perform all PA functions.
  • 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
  • About our Line of Business

    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. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

    Additional Job Information

    Percentage of Travel : 0-25%

    Salary Range

    USD $21.00 - $26.00 / Hour

    Create a job alert for this search

    Prior Authorization Specialist • Irving, TX, United States

    Related jobs
    Verification Authorization Associate

    Verification Authorization Associate

    MediabistroIrving, TX, United States
    Full-time
    You are applying for a position through Medix, a staffing agency.The actual posting represents a position at one of our clients. Our client is seeking an Authorization Agent responsible for verifyin...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Access Specialist - PRN Days / Nights

    Patient Access Specialist - PRN Days / Nights

    EmerusBurleson, TX, US
    Full-time
    The purpose of this position is to serve as a liaison between patient / family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking a...Show moreLast updated: 28 days ago
    Medical Prior-Authorization Specialist Remote $17 / hr - Irving, TX ONLY

    Medical Prior-Authorization Specialist Remote $17 / hr - Irving, TX ONLY

    MediabistroIrving, TX, United States
    Remote
    Full-time
    RemX will never ask for any form of payment prior to or throughout the hiring process.If you have been asked for payment of any kind, please notify us right away. This is illegitimate and unlawful.R...Show moreLast updated: 1 day ago
    • Promoted
    U.S. Border Patrol Agent

    U.S. Border Patrol Agent

    U.S. Customs and Border ProtectionWaxahachie, Texas, US
    Full-time
    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...Show moreLast updated: 30+ days ago
    • Promoted
    Special Agent : Military / Law Enforcement Expertise

    Special Agent : Military / Law Enforcement Expertise

    Federal Bureau of InvestigationDallas, TX, United States
    Full-time
    JOB DESCRIPTION • •The position advertised has been exempted from the federal civilian hiring freeze.Use your military background to become an FBI special agent! The transition from law enforceme...Show moreLast updated: 30+ days ago
    • Promoted
    Border Patrol Agent

    Border Patrol Agent

    U.S. Customs and Border ProtectionEnnis, TX, US
    Full-time
    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...Show moreLast updated: 6 days ago
    • Promoted
    Patient Access Specialist | FT Nights | Burleson, TX

    Patient Access Specialist | FT Nights | Burleson, TX

    EmerusBurleson, TX, US
    Full-time
    FACILITY TYPE : 16 bed Small-Format Hospital (8 ER, 8 Inpatient).We are Emerus, the leader in small-format hospitals.We partner with respected and like-minded health systems who share our mission : T...Show moreLast updated: 30+ days ago
    • Promoted
    Benefit Re-Verification Specialist - 245973

    Benefit Re-Verification Specialist - 245973

    MedixThe Colony, TX, United States
    Temporary
    Fully remote, but candidates must reside within 50 miles of Dallas, TX and attend a brief in-person Tech Enablement session in The Colony, TX during the first week (December 1–5).We’re looking for ...Show moreLast updated: 1 day ago
    • Promoted
    Member Advocate 246307

    Member Advocate 246307

    MedixFarmers Branch, TX, United States
    Full-time
    Are you a customer-service focused, detail-oriented professional looking to join a fast-paced financial advocacy group experiencing tremendous growth? If so, you may be the perfect fit for our team...Show moreLast updated: 11 days ago
    • Promoted
    Insurance Verification Specialist - 245132

    Insurance Verification Specialist - 245132

    MedixDallas, TX, US
    Temporary
    Benefits Verification Specialist.Month Contract, Starting December 1st • •.REMOTE, Must be local to Dallas, TX.Monday-Friday 7am-7pm CST (8 Hour Shift). Benefit Verification / Benefit Investigation e...Show moreLast updated: 23 hours ago
    • Promoted
    Border Patrol Agent - Experienced (GL9 / GS11)

    Border Patrol Agent - Experienced (GL9 / GS11)

    U.S. Customs and Border ProtectionIke, TX, US
    Full-time
    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...Show moreLast updated: 6 days ago
    • Promoted
    Healthcare Reimbursement Team Lead

    Healthcare Reimbursement Team Lead

    CornerStone StaffingThe Colony, TX, United States
    Full-time
    Healthcare Reimbursement Team Lead.Location Remote‑US (must reside near TX 75056, NC 28217, or FL 32746).CST / 8am–8pm EST. Monday–Friday with Saturday flexibility.Assignment : 11 / 1 start, ends mid-...Show moreLast updated: 16 days ago
    • Promoted
    Insurance Verification Specialist - 192029

    Insurance Verification Specialist - 192029

    MedixDallas, TX, United States
    Temporary
    Healthcare Insurance Re-Verification Specialist (Short-Term Contract – Hybrid Remote).Dallas, TX (Must reside within 50 miles). Duration : December 1st – mid-February (potential for extension).In thi...Show moreLast updated: 2 days ago
    • Promoted
    Patient Access Specialist - PRN Days / Nights

    Patient Access Specialist - PRN Days / Nights

    Baylor Scott & White Emergency Hospital (Emerus)Burleson, TX, US
    Full-time
    The purpose of this position is to serve as a liaison between patient / family, payers, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking a...Show moreLast updated: 28 days ago
    • Promoted
    Patient Access Specialist | FT Nights | Burleson, TX

    Patient Access Specialist | FT Nights | Burleson, TX

    Baylor Scott & White Emergency Hospital (Emerus)Burleson, TX, US
    Full-time
    FACILITY TYPE : 16 bed Small-Format Hospital (8 ER, 8 Inpatient).We are Emerus, the leader in small-format hospitals.We partner with respected and like-minded health systems who share our mission : T...Show moreLast updated: 30+ days ago
    Remote Prior Authorization Representative - $17 / hr | Weekly Pay + Benefits | Equ

    Remote Prior Authorization Representative - $17 / hr | Weekly Pay + Benefits | Equ

    MediabistroDallas, TX, United States
    Remote
    Full-time
    Remote Prior Authorization Representative – $17 / hr | Weekly Pay + Benefits | Equipment Provided Location : .Dallas, TX Residents Start Date : . Monday–Friday, Any 8-hour shift between 8 AM–10 PM Central...Show moreLast updated: 1 day ago
    • Promoted
    Insurance Verification Specialist - Hybrid

    Insurance Verification Specialist - Hybrid

    Baylor University Medical CenterDallas, TX, US
    Full-time
    Insurance Verification Specialist 1.The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit informat...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Prior Authorization Specialist / Remote

    Prior Authorization Specialist / Remote

    BrightSpring Health ServicesIrving, TX, US
    Remote
    Full-time
    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 b...Show moreLast updated: 12 hours ago
    • Promoted
    Bilingual Insurance Authorization Specialist

    Bilingual Insurance Authorization Specialist

    KidsCare Home HealthDallas, TX, US
    Full-time
    Join KidsCare Home Healthrecognized as a 2024 U.Top Workplacefor a career where compassion meets opportunity.We're looking for passionate professionals who embody our C. Bilingual professionals are ...Show moreLast updated: 30+ days ago
    • Promoted
    Rehab Patient Access Specialist

    Rehab Patient Access Specialist

    Cook Children'sFort Worth, TX, US
    Full-time
    Patient Access Insurance Specialist.The incumbent will assist in providing access to services provided at the hospital and / or Rehab clinics by scheduling and performing admission and dismissal proc...Show moreLast updated: 30+ days ago