Lead Pharmacy Prior Authorization Coordinator (Hybrid)

Pharmacy Alternatives; Louisville (KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life보험

Company paid STD and LTD

Tuition Assistance

Employee Discount Program

401k

Paid-time off

Tuition reimbursement

Non-retail/Closed-door environment

Job summary

PharMerica, a closed-door pharmacy serving long-term care and senior living clients, seeks a Pharmacy Lead Prior Authorization Coordinator to guide PA activities and train new staff in Louisville, KY. The role requires strong customer service, communication, and multi-tasking skills with familiarity in healthcare billing.

You will oversee daily PA tasks, coordinate with physicians and facilities, and ensure timely, compliant approvals. Hybrid work options available.

Qualifications

• High School Diploma/GED required.
• Pharmacy Tech License preferred.
• Excellent customer service and communication skills, both written and verbal.
• Ability to prioritize and meet pre-determined deadlines.
• Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills.
• Experience in healthcare billing environment (pharmacy preferred).
• Familiarization with online claims processing and Medicaid and Medicare billing practices.

Responsibilities

• Helps manage staff appropriately and sets clear expectations for performance.
• Works with Billing Coordinator/Supervisor/Manager in researching pharmacy accounts requiring special attention.
• Assists Billing Coordinator/Supervisor/Manager in overseeing daily prior authorization activities per policies and procedures when necessary.
• Ensures appropriate, timely and professional communications occurs with Implementation team, Account Management team, Directors of Pharmacy, and Facility staff as needed.
• Audits prior authorization functions regularly for compliance to policies, procedures, contract and government regulations.
• Prioritizes and delegates job tasks to ensure timely completion.
• Follows all applicable government regulations including HIPAA.
• Participates in projects and/or management meetings.

Skills

Customer service

Communication skills

Prioritization

Multitasking

Typing

Technical skills

Education

High School Diploma/GED

Pharmacy Tech License preferred

Tools

Microsoft Word

Excel

Job description

PharMerica, a closed-door pharmacy serving long-term care and senior living clients, seeks a Pharmacy Lead Prior Authorization Coordinator to guide PA activities and train new staff in Louisville, KY. The role requires strong customer service, communication, and multi-tasking skills with familiarity in healthcare billing.

You will oversee daily PA tasks, coordinate with physicians and facilities, and ensure timely, compliant approvals. Hybrid work options available.