Remote Medication Access Coordinator I - Prior Authorization Expert

Geisinger; Philadelphia (Philadelphia County); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Healthcare benefits from day one

Vision insurance

Dental insurance

Domestic partner coverage

Job summary

Geisinger is seeking a dedicated Prior Authorization Specialist to manage medication approvals and coordinate with insurers, patients, and care teams. The role focuses on benefit investigations, eligibility, and patient assistance programs to ensure continued therapy.

Responsibilities include documenting referrals, researching payer criteria, and educating providers and patients on specialty services to improve patient care. Remote Pennsylvania-based position with standard 40-hour work week.

Qualifications

• Must have experience with prior authorization processes.
• Knowledge of payer criteria and reimbursement methodologies.
• Familiarity with patient assistance foundations and drug replacement programs.

Responsibilities

• Completes prior authorization and documents referrals using payer criteria.
• Researches and follows up on authorization requirements within set timeframes.
• Communicates authorization status to care team and patients.

Skills

Prior authorization

Benefits investigation

Insurance liaison

Patient assistance programs

Pharmacy reimbursement

Education

High School Diploma or GED

Job description

Geisinger is seeking a dedicated Prior Authorization Specialist to manage medication approvals and coordinate with insurers, patients, and care teams. The role focuses on benefit investigations, eligibility, and patient assistance programs to ensure continued therapy.

Responsibilities include documenting referrals, researching payer criteria, and educating providers and patients on specialty services to improve patient care. Remote Pennsylvania-based position with standard 40-hour work week.