Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient

Penn State Health; Hershey (PA); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking an Insurance Authorization Specialist to join their dynamic team. This role is pivotal in ensuring patients receive timely access to high-cost, high-risk medications by managing authorizations and insurance verifications. The ideal candidate will have a strong background in pharmacy or clinical settings, with excellent communication and multitasking skills to thrive in a fast-paced environment. The organization is committed to professional growth and offers comprehensive benefits, making it an exciting opportunity for those looking to advance their careers in healthcare.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Plans

Tuition Reimbursement

Qualifications

• Two years of experience in Prior Authorizations within a Pharmacy or Clinical setting.
• Understanding of lab and clinical data within EMR systems.

Responsibilities

• Researching and obtaining authorizations for high-cost medications.
• Verifying insurance and clinical documentation for patient care.

Skills

Insurance Authorization

Communication Skills

Multitasking

Understanding of EMR Systems

Education

High School Diploma

Job description

Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient

Join to apply for the Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient role at Penn State Health.

Position Overview

This role involves researching, obtaining authorizations, insurance verifications, clinical documentation, prescription information, and financial data to facilitate timely and cost-effective initiation of high-cost, high-risk medications for patients.

Minimum Qualifications

• High School Diploma or equivalent
• Two (2) years of experience in Prior Authorizations within a Pharmacy or Clinical setting

Knowledge, Skills, & Abilities

• Understanding of lab and clinical data within EMR systems
• Knowledge of third-party payer and insurance processes
• Professional communication with patients, peers, and providers
• Ability to train new staff
• Multitasking capabilities due to high call volume
• Understanding of complex therapies

Preferred Qualifications

• Pharmacy technician or pharmacy billing experience with insurers and third-party payers

Additional Information

Penn State Health offers comprehensive benefits including medical, dental, vision, wellness programs, paid time off, retirement plans, tuition reimbursement, and more. Hershey Medical Center is a leading academic medical center committed to compassionate, innovative care and professional growth.