Prior Authorization Specialist

Willis-Knighton-Health-System; Shreveport (LA); On-site; USD 42,000 - 64,000; Full time

Job summary

The Willis-Knighton Department of Pharmacy seeks a Pharmacy Prior Authorization Specialist to join our team. This role will coordinate with outpatient infusion units, patients, providers, and insurers to ensure timely care and payer compliance.

The ideal candidate will review medication orders for prior authorization, verify coverage, and collaborate with clinical staff to obtain necessary information. A high school diploma and familiarity with medical terminology and billing are preferred.

Qualifications

• High school diploma required.
• Basic knowledge of medical terminology, medical billing, computers, and MS Office preferred.

Responsibilities

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

Skills

Medical terminology

Medical billing

Microsoft Office

Insurance coordination

Education

High school diploma

Job description

The Willis KnightonDepartment of Pharmacy is seeking a Pharmacy Prior Authorization Specialistto join our team.This individualwill work directly with our Outpatient Infusion Unitsunder thesupervision of the Pharmacy Directorand 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 abasic knowledge ofmedical terminology, medical billing,andfamiliaritywith computers and Microsoft Office productsis preferred.The Prior Authorization Specialistwillreview 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.