Prior Authorization Specialist / Remote

BrightSpring Health Services; Irving (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider in Irving, Texas, is seeking a Pharmacy Technician to manage prior authorization requests and collaborate with providers and patients. Candidates should have a High School Diploma or equivalent, along with a year of pharmacy experience. Strong communication skills and knowledge of pharmacy terminology are essential. Competitive salary at $26.00 per hour with comprehensive health benefits and flexible schedules.

Benefits

Comprehensive health benefits

Flexible schedules

Tuition reimbursement

Employee discount programs

Qualifications

• Minimum of 1 year of pharmacy experience required.
• Knowledge of pharmacy and healthcare terminology essential.
• Intermediate typing/keyboard skills necessary.

Responsibilities

• Process clinical review of prior authorization requests.
• Collaborate with healthcare providers and patients.
• Ensure compliance with payer requirements.

Skills

Pharmacy knowledge

Analytical skills

Communication skills

Education

High School Diploma or GED

Licensed/Registered Pharmacy Technician

Job description

Employer Industry: Specialty Infusion Services

Why consider this job opportunity:

• Salary up to $26.00 per hour
• Comprehensive health benefits including dental, vision, and life insurance
• Flexible schedules with paid time off and tuition reimbursement
• Company-paid short and long-term disability insurance
• Employee discount programs and DailyPay options available
• Opportunity to work in a supportive environment with a focus on patient care

What to Expect (Job Responsibilities):

• Initiate, process, and oversee the clinical review of prior authorization requests for medication and supplies
• Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information
• Submit prior authorization requests accurately and in a timely manner using electronic submission platforms
• Perform all prior authorization functions as required
• Ensure compliance with payer requirements and clinical guidelines

What is Required (Qualifications):

• High School Diploma or GED, or licensed/registered pharmacy technician, or previous experience in pharmacy
• Minimum of 1 year of pharmacy experience
• Knowledge of pharmacy or healthcare-related terminology
• Familiarity with pharmacy terminology including sig codes, Roman numerals, and brand/generic names of medication
• Basic math and analytical skills, along with intermediate typing/keyboard skills

How to Stand Out (Preferred Qualifications):

• Experience in a pharmacy or healthcare setting
• Familiarity with prior authorization processes
• Strong communication and collaboration skills

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