Prior Authorization Specialist

A company is looking for a Prior Authorization Specialist, Remote.

Key Responsibilities

Initiate, process, and oversee clinical review of prior authorization requests for medications and supplies

Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information

Submit prior authorization requests accurately and in a timely manner 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

Pharmacy or healthcare-related knowledge

Knowledge of pharmacy terminology including sig codes and brand / generic names of medication

Basic math and analytical skills