Prior Authorization Specialist - Remote

Job Opportunity At Amerita

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 : 30pm

Compensation and 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.

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.

Additional Job Information :

Percentage of Travel : 0-25% Salary Range USD $22.00 - $27.00 / Hour

ALERT : We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com. Click here for additional FAQ information.