Prior Authorization Specialist - Detail-Driven & Collaborative

Independent Medical Systems, Inc.; Northern (KY); Hybrid; USD 42,000 - 65,000; Full time

Job summary

Independent Medical Systems, Inc. is seeking a diligent Prior Authorization Coordinator to join our US operations. This role focuses on accurately processing prior authorizations in the PA software, delivering timely, clear communication to members and providers.

The ideal candidate has at least 2 years in PBM or pharmacy settings, strong data entry skills, and the ability to work independently while collaborating with the team to meet turnaround targets.

Qualifications

• Minimum 2 years’ experience in PBM or related (retail or hospital pharmacy).
• Ability to communicate clearly via email and phone.
• Proficient with data entry and CRM Dynamics.
• Comfortable handling multiple tasks and meeting turnaround times.

Responsibilities

• Process prior authorizations and finalize determinations with data entry.
• Document questions, issues, and resolutions in the CRM (Dynamics).
• Respond to emails and phone inquiries to initiate and track PA status.

Skills

PA coordination

Customer service

CRM Dynamics

Data entry

Education

High school diploma

Tools

Microsoft Excel

Job description

Independent Medical Systems, Inc. is seeking a diligent Prior Authorization Coordinator to join our US operations. This role focuses on accurately processing prior authorizations in the PA software, delivering timely, clear communication to members and providers.

The ideal candidate has at least 2 years in PBM or pharmacy settings, strong data entry skills, and the ability to work independently while collaborating with the team to meet turnaround targets.