Prior Authorization Specialist - Elevate Patient Access

TriHealth; Montgomery (OH); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Competitive shift differentials

Professional growth opportunities

Comprehensive benefits package

Job summary

TriHealth is seeking a Prior Authorization Specialist at Montgomery Fitness Pavilion to coordinate the prior authorization process, verify insurance, review formulary details, and gather necessary clinical information from the EMR. You will communicate with patients, prescribers, and office staff to ensure timely authorizations and a seamless patient experience.

This full-time day-shift role requires attention to detail, strong problem-solving and communication skills, and the ability to

Qualifications

• High School Degree or Medical Assistant.
• Certified Pharmacy Technician or Certified Medical Assistant desired.
• Prior experience with medication Epic and/or prior authorizations desirable.
• 2-3 years experience Clinical Pharmacy Pharmacy Technician or Medical Assistant.

Responsibilities

• Demonstrates the ability to prioritize daily tasks and participate in department’s day-to-day operations and initiatives.
• Meets or exceeds department’s customer satisfaction targets and coordinates with pharmacists, prescribers, physician office staff and all members of the health care team to document activities in the EMR.

Skills

Detail-oriented

Problem solving

Communication

Team collaboration

Education

High School Degree or Medical Assistant

Certified Pharmacy Technician or Certified Medical Assistant

Tools

Epic

Job description

TriHealth is seeking a Prior Authorization Specialist at Montgomery Fitness Pavilion to coordinate the prior authorization process, verify insurance, review formulary details, and gather necessary clinical information from the EMR. You will communicate with patients, prescribers, and office staff to ensure timely authorizations and a seamless patient experience.

This full-time day-shift role requires attention to detail, strong problem-solving and communication skills, and the ability to