Insurance Verification Specialist

Addison Group; Columbus (OH); Hybrid; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Job summary

Addison Group is seeking a Prior Authorization Representative in Columbus, OH on a contract-to-hire basis. You will manage the authorization process for prescription medications, coordinating with insurers, pharmacies, and physician offices to ensure timely approvals.

This role includes initial onsite training for four weeks, followed by a hybrid schedule with two days onsite and three days remote per week. Benefits include medical, dental, vision, and 401(k).

Qualifications

• Prior authorization experience preferred.
• Pharmacy technician licensing or experience desirable.
• Retail pharmacy experience considered.

Responsibilities

• Review insurance and pharmacy benefit information to determine authorization requirements.
• Communicate with insurance carriers to clarify coverage and criteria.
• Collect prescriptions and clinical records from physician offices.
• Submit authorization requests through electronic platforms.
• Track cases and perform timely follow-ups on pending requests.
• Document decisions and maintain accurate case records.

Skills

Prior authorization

Pharmacy technician credentials

Pharmacy benefits

Insurance portals

Organizational skills

Education

Pharmacy technician license

Tools

Electronic authorization systems

Job description

Job Title: Prior Authorization Representative

Industry: Healthcare / Specialty Pharmacy

Location: Columbus, OH

Assignment Type: Contract-to-Hire

Pay: $20.00 – $22.00 / per hour, based on pharmacy technician credentials

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About The Company

A rapidly expanding healthcare organization is seeking Prior Authorization Representatives to support patients navigating prescription insurance and authorization requirements. This is an excellent opportunity for professionals looking to build or expand their experience in pharmacy benefits, healthcare insurance, and specialty pharmacy operations.

Job Description

The Prior Authorization Representative will manage the authorization process for prescription medications by working with insurance providers, pharmacies, and physician offices. This position requires strong attention to detail, effective communication skills, and the ability to manage multiple cases while meeting established deadlines.

Key Responsibilities

• Review insurance and pharmacy benefit information to determine authorization requirements.
• Communicate with insurance carriers to clarify coverage and authorization criteria.
• Partner with physician offices to collect prescriptions and necessary clinical records.
• Evaluate submitted documentation for completeness and accuracy.
• Submit authorization requests through electronic insurance platforms.
• Track open cases and conduct timely follow-ups on pending requests.
• Communicate urgent case updates to appropriate internal teams.
• Document authorization decisions and maintain accurate case records.
• Process complex authorization requests and renewal cases.
• Monitor upcoming expiration dates and begin renewal requests in advance.
• Follow established quality, productivity, and compliance standards.

Qualifications

• Prior authorization experience is strongly preferred.
• Pharmacy technician experience or licensing is highly desirable.
• Candidates with retail pharmacy experience may be considered.
• Experience with pharmacy benefits, healthcare insurance, or medical office procedures is preferred.
• Familiarity with insurance portals and electronic authorization systems.
• Basic understanding of pharmacy and healthcare terminology.
• Strong organizational and follow-through skills.
• Ability to work independently and prioritize multiple assignments.
• Comfortable receiving feedback and learning new processes and systems.
• Multiple positions are currently available.
• Initial training is conducted onsite for approximately four weeks.
• Following training, employees transition to a flexible hybrid schedule.
• Regular schedule is generally 2 days onsite and 3 days remote per week.
• Free onsite parking is available.
• Business casual dress environment.
• Upon a conditional offer of employment, the position requires a background check and drug screening.
• Contract-to-hire opportunity with potential for long-term employment.
• Comprehensive paid training and onboarding.
• Opportunity to gain valuable experience in specialty pharmacy and healthcare insurance.
• Supportive team environment with opportunities for professional development.

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.