Pharmacy Prior Authorization Coordinator

Trinity Employment Specialists; Edmond (OK); On-site; USD 28,000 - 36,000; Full time

Job summary

Trinity Employment Specialists in Edmond, OK, is seeking a Pharmacy Financial Coordinator to manage prior authorizations and medication access within a fast-paced specialty clinic. You will coordinate with providers, insurers, and pharmacies to keep patients on their therapies.

The ideal candidate has a pharmacy technician background, 2+ years of experience, and strong customer service, detail orientation, and HIPAA compliance.

Qualifications

• Oklahoma Pharmacy Technician license required.
• High School Diploma or equivalent required.
• 2+ years of Pharmacy Technician experience preferred.
• Experience with pharmacy billing, prior authorizations, or medical billing preferred.

Responsibilities

• Verify prescription benefits, eligibility, and insurance coverage.
• Submit and follow up on medication prior authorizations in a timely manner.
• Reprocess insurance claims for medications when needed.
• Communicate authorization status, outcomes, and medication updates to patients.
• Assist patients with copay assistance and financial coordination resources.
• Research PBM guidelines, insurance formularies, and step therapy requirements.
• Resolve issues preventing patients from obtaining prescribed medications.
• Coordinate with providers, pharmacies, and clinic staff regarding medication approvals and fulfillment.
• Answer incoming calls and return voicemails promptly.
• Maintain HIPAA compliance and patient confidentiality at all times.

Skills

Customer service

Communication skills

Attention to detail

Organizational skills

Multitasking

HIPAA compliance

Education

Oklahoma Pharmacy Technician license

High School Diploma

Tools

CoverMyMeds

EHR systems

Microsoft Office

Job description

Trinity Employment Specialists in Edmond, OK, is seeking a Pharmacy Financial Coordinator to manage prior authorizations and medication access within a fast-paced specialty clinic. You will coordinate with providers, insurers, and pharmacies to keep patients on their therapies.

The ideal candidate has a pharmacy technician background, 2+ years of experience, and strong customer service, detail orientation, and HIPAA compliance.