Talent.com
Prior Authorization Specialist / Remote

Prior Authorization Specialist / Remote

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

Prior Authorization Specialist / Remote

Job Locations US-TX-IRVING ID 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 . 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
    • Promoted
    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Liberty Mutual InsurancePlano, Texas, United States
    Full-time
    Schedule : Full-Time Salary Range : USD $60000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...Show moreLast updated: 30+ days ago
    • Promoted
    Access Services Scheduling Specialist

    Access Services Scheduling Specialist

    ProKatchersDallas, TX, US
    Temporary
    Access Services Scheduling Specialist.Possible remote if meets performance / quality standards.Show moreLast updated: 20 days ago
    • Promoted
    Associate Claims Specialist - Rideshare Commercial Claims Unrepresented Injury Adjuster

    Associate Claims Specialist - Rideshare Commercial Claims Unrepresented Injury Adjuster

    Liberty Mutual InsurancePlano, Texas, United States
    Full-time
    Schedule : Full-Time Salary Range : USD $49000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...Show moreLast updated: 26 days ago
    • Promoted
    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    U.S. Customs and Border ProtectionJoshua, Texas, US
    Permanent
    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
    Insurance Verification Specialist - 192029

    Insurance Verification Specialist - 192029

    MedixDallas, TX, US
    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: 30+ days ago
    • Promoted
    Border Patrol Agent

    Border Patrol Agent

    U.S. Customs and Border ProtectionBristol, Texas, United States
    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
    Recovery Resolution Consultant

    Recovery Resolution Consultant

    UnitedHealth GroupDallas, TX, United States
    Full-time
    This position is National Remote.You'll enjoy the flexibility to telecommute • from anywhere within the U.Optum is a global organization that delivers care, aided by technology to help millions of p...Show moreLast updated: 4 days ago
    • Promoted
    United States Border Patrol Agent

    United States Border Patrol Agent

    U.S. Customs and Border ProtectionItaly, Texas, US
    Permanent
    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
    Access Services Scheduling Specialist

    Access Services Scheduling Specialist

    ProKatchers LLCDallas, TX, United States
    Temporary
    Access Services Scheduling Specialist.Possible remote if meets performance / quality standards.Schedules time for Radiology / Imaging procedures as requested by referring Physicians to achieve maximum ...Show moreLast updated: 11 days ago
    • Promoted
    Eligibility Advisor I - Temporary

    Eligibility Advisor I - Temporary

    Texas Health and Human Services CommissionGrand Prairie, TX, United States
    Full-time +2
    Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we sup...Show moreLast updated: 1 day ago
    • Promoted
    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Claims Specialist - Rideshare Commercial Claims Injury Adjuster

    Liberty Mutual Insurance GroupPlano, TX, US
    Full-time
    The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through reso...Show moreLast updated: 30+ days ago
    • Promoted
    Insurance Sr. Specialist / Full Time / Remote-Michigan Residents

    Insurance Sr. Specialist / Full Time / Remote-Michigan Residents

    Henry Ford HospitalArlington, TX, US
    Remote
    Full-time
    Business (Non-Clinical) CBO Insurance Sr.Specialist is responsible for effectively and efficiently resolving complex accounts, acting as a subject matter resource for his / her functional area, coach...Show moreLast updated: 2 days ago
    • Promoted
    Border Patrol Agent Recruitment Webinar - November 12th

    Border Patrol Agent Recruitment Webinar - November 12th

    US Customs and Border ProtectionEnnis, TX, US
    Full-time
    Border Patrol (USBP) needs you for higher grade opportunities and entry-level openings as a Border Patrol Agent, providing security for our nation’s borders from those who threaten legitimate...Show moreLast updated: 16 days ago
    • Promoted
    Remote PBM Prior Authorization Pharmacist

    Remote PBM Prior Authorization Pharmacist

    A-Line Staffing SolutionsDallas, TX, US
    Remote
    Full-time
    Job Title : Remote PBM Prior Authorization Pharmacist Pay : $53 an hr | Bi-weekly Job Type : Remote Start date : 11 / 30 / 25 Shift Options : Monday-Friday 9 : 30am-6pm local time zone or Sunday-Thursday 8am-...Show moreLast updated: 17 days ago
    • Promoted
    Air Interdiction Agent

    Air Interdiction Agent

    U.S. Customs and Border ProtectionBardwell, Texas, US
    Full-time +1
    Pilot CBP Air Interdiction Agent.Considering making an application for this job Check all the details in this job description, and then click on Apply. Air and Marine Operations (AMO), a component o...Show moreLast updated: 30+ days ago
    • Promoted
    U.S. Border Patrol Agent

    U.S. Border Patrol Agent

    U.S. Customs and Border ProtectionMidlothian, Texas, US
    Permanent
    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
    Temporary Hurricane Contact Center Agent

    Temporary Hurricane Contact Center Agent

    MCIArlington, TX, US
    Full-time
    Hurricane Relief Agent Position.MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients.With a commitm...Show moreLast updated: 4 days ago
    • Promoted
    Claims Specialist - Bodily Injury Adjuster

    Claims Specialist - Bodily Injury Adjuster

    Liberty Mutual InsurancePlano, Texas, United States
    Full-time
    Schedule : Full-Time Salary Range : USD $60000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...Show moreLast updated: 8 days ago