Prior Authorization Specialist / Remote

BrightSpring Health Services; Village of New Hyde Park (NY); Remote; USD 26,000 - 34,000; Full time

Job summary

A leading healthcare organization is seeking a Prior Authorization Specialist to handle medication and supply authorization requests. This remote role requires pharmacy experience and knowledge of prior authorization processes. Responsibilities include collaborating with healthcare providers and insurance companies, ensuring compliance, and timely submissions. Competitive pay and benefits are provided.

Benefits

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

Qualifications

• Previous experience in Pharmacy preferred.
• Pharmacy or healthcare-related knowledge is required.
• Able to perform all PA functions efficiently.

Responsibilities

• Initiate, process, and oversee prior authorization requests.
• Collaborate with healthcare providers and insurance companies.
• Submit prior authorization requests accurately and timely.

Skills

Pharmacy experience

Knowledge of pharmacy terminology

Basic math and analytical skills

Intermediate typing/keyboard skills

Education

High School Diploma or GED

Job description

Our Company

Amerita

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:

(Remote)Monday - Friday 8:30am - 5:00pm

• 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.

Additional Job Information

Percentage of Travel: 0-25%

Salary Range

USD $26.00 - $34.00 / Year