Pharmacy Prior Authorization Specialist

Pharmerica; Louisville (KY); On-site; USD 42,000 - 55,000; Full time

Benefits offered by this job

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision, life insurance

STD & LTD paid by company

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 detail‑oriented Prior Authorization Coordinator in Louisville, KY. You will manage prior authorization workflows, coordinate with prescribers and facilities, and ensure timely processing of claims.

Join a non-retail environment with growth opportunities, meaningful patient impact, and a comprehensive benefits package.

Qualifications

• High school diploma or GED required.
• Kentucky Pharmacy Technician License preferred.
• Excellent customer service and communication skills.
• Ability to prioritize and meet deadlines.
• Proficient typing and strong technical skills.
• Experience in healthcare billing environment (pharmacy preferred).
• Familiar with online claims processing and Medicaid/Medicare billing.

Responsibilities

• Complete prior authorization and change-of-therapy paperwork accurately with prescribers and facility contacts.
• Follow up on all claims requiring prior authorization within 4–5 business days.
• Track and review all claims in QuickBase; provide weekly Excel tracking to Director of Pharmacy.
• Ensure conformity of unbilled claims requiring prior authorization with QuickBase tracking.
• Assist Billing Department with resolving unbilled claims at month end close.
• Advocate for clients and support Pharmacy Operations; resolve claim rejections as needed.

Skills

Customer service

Communication

Multitasking

Typing proficiency

Technical skills

Microsoft Word & Excel

Education

High School Diploma/GED

Kentucky Pharmacy Technician License preferred

Tools

QuickBase

Docutrack

CoverMyMeds

Excel

Word

Job description

PharMerica, a closed-door pharmacy serving long-term care and senior living clients, seeks a detail‑oriented Prior Authorization Coordinator in Louisville, KY. You will manage prior authorization workflows, coordinate with prescribers and facilities, and ensure timely processing of claims.

Join a non-retail environment with growth opportunities, meaningful patient impact, and a comprehensive benefits package.