Prior Authorization Specialist / Remote

BrightSpring Health Services; Englewood (CO); Remote; USD 29,000 - 36,000; Full time

Benefits offered by this job

Competitive Pay

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Flexible Schedules

Paid Time Off

Tuition Reimbursement

DailyPay

401k

Pet Insurance

Job summary

Amerita, an affiliate of BrightSpring Health Services, is hiring a Prior Authorization Specialist for a remote role based in the US. Responsibilities include initiating and reviewing PA requests, gathering clinical data, and submitting requests to payers.

The position supports pharmacy benefits and PA processes to ensure timely approvals. Ideal candidates have healthcare experience, familiarity with pharmacy terminology, and strong attention to detail.

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

Payer knowledge

Clinical submission

Education

High School Diploma or GED

Pharmacy technician license/experience

Job description

Prior Authorization Specialist / Remote

Job Locations

US-CO-ENGLEWOOD

Job Details

• ID: 2026-195472
• Line of Business: Amerita
• Position Type: Full-Time
• Pay Min: USD $21.00/Hr.
• Pay Max: USD $26.00/Hr.

Overview

This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.

Schedule

Schedule: Monday - Friday 9:30am - 6:30pm CST

We Offer

• Competitive Pay
• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability
• Flexible Schedules & Paid Time Off
• Tuition Reimbursement
• Employee Discount Program & DailyPay
• 401k
• Pet Insurance

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.

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

About our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Additional Job Information

Percentage of Travel: 0-25%

Salary Range

USD $21.00 - $26.00 / Hour