Prior Authorization Specialist / Remote

BrightSpring Health Services; Village of New Hyde Park (NY); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare service provider in New Hyde Park, NY is seeking a Pharmacy Technician to manage prior authorization requests for medications and supplies. The ideal candidate should have at least 1 year of pharmacy experience and a solid understanding of pharmacy terminology. This position offers competitive hourly pay, comprehensive health benefits, and flexible scheduling options.

Benefits

Comprehensive health benefits

Flexible schedules

401k

Pet Insurance

Tuition Reimbursement

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.

Responsibilities

• Initiate and oversee the clinical review of prior authorization requests for medication and supplies.
• Collaborate with healthcare providers, insurance companies, and patients.
• Accurately submit prior authorization requests using electronic submission platforms.

Skills

Pharmacy experience

Knowledge of pharmacy terminology

Basic math skills

Analytical skills

Typing/keyboard 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 $34.00 per hour
• Comprehensive health benefits including Dental, Vision, and Life Insurance
• Company-paid Short & Long-Term Disability
• Flexible schedules with Paid Time Off and Tuition Reimbursement
• Employee Discount Program and DailyPay options available
• 401k and Pet Insurance offerings

What to Expect (Job Responsibilities):

• Initiate and oversee the clinical review of prior authorization requests for medication and supplies, ensuring compliance with payer requirements and clinical guidelines
• Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation for prior authorization submissions
• Accurately submit prior authorization requests in a timely manner utilizing electronic submission platforms
• Perform all functions related to prior authorizations
• Maintain knowledge of pharmacy benefits and the prior authorization process

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 medications
• Basic math and analytical skills along with intermediate typing/keyboard skills

How to Stand Out (Preferred Qualifications):

• Experience in a pharmacy setting, particularly with prior authorizations

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