Prior Authorization Specialist

Willis Knighton Health; Louisiana (MO); On-site; USD 38,000 - 54,000; Full time

Job summary

Willis Knighton Health is seeking a Pharmacy Prior Authorization Specialist to join our Pharmacy Department in Shreveport, LA. This full-time, day-shift position involves working with the Outpatient Infusion Units under the Pharmacy Director’s supervision, ensuring payer requirements are met and patient care is timely.

Qualifications include a high school diploma and preferably knowledge of medical terminology, medical billing, and computer/Microsoft Office usage.

Qualifications

• High school diploma required.
• Basic knowledge of medical terminology, medical billing and familiarity with computers and Microsoft Office products preferred.

Responsibilities

• Review medication orders to determine if prior authorization is required.
• Verify insurance coverage for medications.
• Collaborate with healthcare providers to collect necessary clinical information.
• Serve as liaison between patients, providers and insurance companies to ensure timely patient care.

Skills

Attention to detail

Medical terminology

Medical billing

Microsoft Office

Education

High school diploma

Job description

WK Medical Center

• Pharmacy
• Pharmacy

Shreveport, LA
Newly Created Position
Full-Time, Day
The Willis Knighton Department of Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our team. This individual will work directly with our Outpatient Infusion Units under the supervision of the Pharmacy Director and act as a liaison between patients, healthcare providers, and insurance companies to ensure timely patient care and compliance with payer requirements. A high school diploma is required, and a basic knowledge of medical terminology, medical billing, and familiarity with computers and Microsoft Office products is preferred. The Prior Authorization Specialist will review medication orders to determine if medications require prior authorization, verify insurance coverage, and work closely with healthcare providers to collect necessary clinical information. Great attention to detail is a necessary quality. The shift hours will be 8-hour days.