Prior Authorization Pro - Hybrid Healthcare

Addison Group; Columbus (OH); Hybrid; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Job summary

Addison Group is seeking a Prior Authorization Representative in Columbus, OH on a contract-to-hire basis. You will manage the authorization process for prescription medications, coordinating with insurers, pharmacies, and physician offices to ensure timely approvals.

This role includes initial onsite training for four weeks, followed by a hybrid schedule with two days onsite and three days remote per week. Benefits include medical, dental, vision, and 401(k).

Qualifications

• Prior authorization experience preferred.
• Pharmacy technician licensing or experience desirable.
• Retail pharmacy experience considered.

Responsibilities

• Review insurance and pharmacy benefit information to determine authorization requirements.
• Communicate with insurance carriers to clarify coverage and criteria.
• Collect prescriptions and clinical records from physician offices.
• Submit authorization requests through electronic platforms.
• Track cases and perform timely follow-ups on pending requests.
• Document decisions and maintain accurate case records.

Skills

Prior authorization

Pharmacy technician credentials

Pharmacy benefits

Insurance portals

Organizational skills

Education

Pharmacy technician license

Tools

Electronic authorization systems

Job description

Addison Group is seeking a Prior Authorization Representative in Columbus, OH on a contract-to-hire basis. You will manage the authorization process for prescription medications, coordinating with insurers, pharmacies, and physician offices to ensure timely approvals.

This role includes initial onsite training for four weeks, followed by a hybrid schedule with two days onsite and three days remote per week. Benefits include medical, dental, vision, and 401(k).