Prior Authorization Coordinator

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

Our Company

PharMerica

Join our PharMerica team!

PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!

Schedule

Mon-Fri (8:30am to 5pm)

This is not a remote opportunity. Applicants must reside in, or commutable distance, to Louisville, KY

We offer:

• DailyPay
• Flexible schedules
• Competitive pay
• Shift differential
• Health, dental, vision and life insurance benefits
• Company paid STD and LTD
• Tuition Assistance
• Employee Discount Program
• 401k
• Paid-time off
• Tuition reimbursement
• Non-retail/Closed-door environment

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care, come join our team.

Position will be posted for a minimum of 7 business days.

Responsibilities

• The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question

Essential Job Responsibilities:

• Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
• Follows up on all claims requiring prior authorization within four to five business days
• Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
• Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
• Assists Billing Department with resolving unbilled claims at each month end close
• Advocates for clients as needed
• Support for Pharmacy Operations
• Adjudicates and resolution of claim rejections as needed
• Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
• Other responsibilities as assigned

Qualifications

• High School Diploma/General Education Diploma required
• Kentucky Pharmacy Technician 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 on-line claims processing and Medicaid and Medicare billing practices
• Proficient with Microsoft Word & Excel required

About Our Line Of Business

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long‑term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry‑leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best‑in‑class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com . Follow us on Facebook , Twitter , and LinkedIn .