Prior Authorization Specialist – Flexible Schedule & PTO

Amerita, Inc; Englewood (CO); On-site; USD 60,174,000 - 74,501,000; Full time

Benefits offered by this job

Competitive Pay

Health, Dental, Vision & LifeInsurance

Company-Paid Short & Long-Term Disab.

Flexible Schedules & Paid Time Off

Tuition Reimbursement

Employee Discount Program & DailyPay

401k

Pet Insurance

Job summary

Amerita is seeking a detail-oriented PA coordinator to manage the initiation, clinical review, submission, and follow-up of prior authorization requests for medications and supplies. The role requires knowledge of pharmacy benefits and PA processes to ensure payer requirements are met.

You will collaborate with providers, insurers, and patients to obtain required clinical data and submit PA requests accurately using electronic platforms, adhering to established guidelines and timelines.

Qualifications

• High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
• 1+ years pharmacy experience
• Pharmacy or healthcare-related knowledge
• Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
• Basic math and analytical skills
• Intermediate typing/keyboard skills

Responsibilities

• Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
• Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
• Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
• Knowledgeable to perform all PA functions.

Skills

Pharmacy experience

Pharmacy terminology

Basic math skills

Typing/keyboard skills

Education

High School Diploma or GED or Pharmacy Technician license

Job description

Amerita is seeking a detail-oriented PA coordinator to manage the initiation, clinical review, submission, and follow-up of prior authorization requests for medications and supplies. The role requires knowledge of pharmacy benefits and PA processes to ensure payer requirements are met.

You will collaborate with providers, insurers, and patients to obtain required clinical data and submit PA requests accurately using electronic platforms, adhering to established guidelines and timelines.