Prior Authorization Team Lead

ProCare Rx; United States; On-site; USD 50,000 - 75,000; Full time

Job summary

ProCare Rx is seeking a professional to manage authorizations within a fast-paced healthcare environment in the United States. The ideal candidate should have at least 3 years of pharmacy or healthcare experience, proficiency in medical terminology, and strong problem-solving skills. Bilingual candidates in English and Spanish are preferred. The role involves direct communication with insurance companies, provider offices, and patients to secure necessary authorizations and maintain organized documentation.

Qualifications

• Minimum 3 years of pharmacy or healthcare experience required.
• Minimum 1 year management experience of a team of 5 or more employees.
• Ability to manage cases from multiple clientele programs.

Responsibilities

• Process authorizations electronically using various portals and methods.
• Verify coverage and initiate authorizations with insurance companies.
• Maintain clear communication with provider offices and patients.

Skills

Medical terminology knowledge

Bilingual English/Spanish

Customer service skills

Problem solving

Data entry proficiency

Education

High School Graduate

College degree preferred

State Pharmacy Technician registration

Tools

Microsoft applications

Job description

ProCare Rx is seeking a professional to manage authorizations within a fast-paced healthcare environment in the United States. The ideal candidate should have at least 3 years of pharmacy or healthcare experience, proficiency in medical terminology, and strong problem-solving skills. Bilingual candidates in English and Spanish are preferred. The role involves direct communication with insurance companies, provider offices, and patients to secure necessary authorizations and maintain organized documentation.