Onsite Prior Authorization Claims Specialist

Injured Workers Pharmacy, LLC; Andover, Northern (MA, KY); Hybrid; USD 30,000 - 33,000; Full time

Benefits offered by this job

Onsite fitness center

Free parking

Competitive benefits package

Job summary

IWP Corporate Office in Andover, MA is seeking a Claims Support Coordinator (Prior Authorization) to ensure timely processing of workers’ compensation prescriptions. The role emphasizes thorough communication, problem solving, and strong attention to detail in a fast-paced team environment.

The position requires 1–2 years of prior authorization or related healthcare/pharmacy billing experience, basic medical terminology knowledge, and proficiency with Microsoft Office.

Qualifications

• 1-2 years of Prior Authorization, Healthcare or Pharmacy billing experience.
• Basic knowledge of medical terminology (preferred).
• Basic knowledge of workers compensation (preferred).
• Microsoft Office Suite knowledge required.

Responsibilities

• Documents all communication with insurance carriers, physicians, law firms, account managers and patients in the approved format.
• Follow all department policies and procedures to obtain authorization and pertinent information.
• Review all letters and medical documents in regard to prior authorization.
• Serves as a liaison between departments and outside parties to ensure that customers receive their medication in a timely manner.
• Obtaining prior authorization for pending medications in states which this is required.
• Faxing documents to insurance carriers, physicians, law firms, account managers and other parties when requested.
• Stays up to date on pre-adjudication and formulary prior authorization processes and rules.
• Communicates effectively and articulates ideas verbally and in writing.

Skills

Prior Authorization

Healthcare experience

Pharmacy billing

Tools

Microsoft Office Suite

Job description

IWP Corporate Office in Andover, MA is seeking a Claims Support Coordinator (Prior Authorization) to ensure timely processing of workers’ compensation prescriptions. The role emphasizes thorough communication, problem solving, and strong attention to detail in a fast-paced team environment.

The position requires 1–2 years of prior authorization or related healthcare/pharmacy billing experience, basic medical terminology knowledge, and proficiency with Microsoft Office.