Inside Sales Rep/PA Submit Specialist

Senderra RX Pharmacy; Dallas (TX); On-site; USD 52,000 - 76,000; Full time

Job summary

Senderra RX Pharmacy is seeking an Inside Sales Rep/PA Submit Specialist to advocate for patients during Prior Authorization processes and coordinate with payors and providers. The role emphasizes accuracy, organization, and timely communication in a fast-paced pharmacy setting.

The candidate should have pharmacy call center experience and a background in medical terminology, with a preference for those who are Certified Pharmacy Technicians. Minimal travel is required.

Qualifications

• 3-5 years in pharmacy call center experience preferred.
• Certified Pharmacy Technician is a plus.
• High School Diploma or GED preferred.

Responsibilities

• Handle Prior Authorization submissions for various drug therapies.
• Make follow-up calls to plans for determinations and outcomes.
• Create and review Letters of Medical Necessity for accuracy and grammar.
• Submit appeals and track determinations.

Skills

Organizational skills

Team player

Medical terminology

Attention to detail

Prioritization & multitasking

Education

High School Diploma or GED

Job description

All Jobs > Inside Sales Rep/PA Submit Specialist

Senderra RX Pharmacy is a specialty pharmacy dedicated to providing exceptional service to patients. We believe that success lies in serving others, and we leverage technology and data to enhance our processes and improve outcomes for patients, prescribers, pharma, and payors.

Position Overview

Serves as a patient’s advocate during the Prior Authorization approval process.

Essential Skills/Experience

• Organizational skills
• Team player
• Knowledge of medical terminology
• Excellent attention to detail
• Proven ability to prioritize and multi-task

Characteristics

• Sense of urgency
• Organized, detail oriented; catches errors early
• Ethical; respects confidentiality

Responsibilities

Responsible for Prior Authorization submissions on various drug therapies, Prior Authorization follow up calls to plans for determinations, creating appeal letters (reviewing and revising Letter of Medical Necessities (LMN) for grammar, punctuation, and accuracy), submitting appeals and following up on determination

Responsible for collaborating with provider offices to secure electronic medical records (EMR) such as patient charts, clinical notes, and documentation for items requested by PA team to complete prior authorizationsKnowledgeable regarding Senderra’s community values and demonstrates them daily.Participate in staff meetings and conference calls as needed.Performs other incidental and related duties as required.

Requirements

Education / Licensing Requirements

High School Diploma or GED preferred

Experience Requirements

3-5 years in pharmacy call center experience preferred.

having a Certified Pharmacy technician is a Plus

Working Conditions

Fast-paced environment.

Requires normal vision (corrected) both close and distant.

Requires normal hearing levels (corrected).

Requires working at a desk to use a phone and computer for extended periods of time.

Uses office equipment and machinery effectively.

Works effectively with frequent interruptions.

Lifting requirements of 15 pounds occasionally.

Minimal travel <10%.

Organizational Relationships

Reports to Inside Sales Supervisor and Inside Sales Manager