Remote Pharmacy Prior Authorization Specialist

JobRx, Inc.; Kentucky; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401(k) with company match

Paid time off

Job summary

JobRx, Inc. is hiring a Prior Authorization Specialist to manage prior authorization workflows remotely. The role includes submitting authorizations, working with insurance companies, and ensuring compliance with regulations. Ideal candidates may have prior authorization or long-term care pharmacy experience. Benefits include health insurance, a 401(k) match, paid time off, and a competitive salary based on experience.

Qualifications

• Prior Authorization experience preferred, but not mandatory.
• Long-Term Care pharmacy experience is an asset.
• Familiarity with Framework LTC is advantageous.

Responsibilities

• Manage workflow for prior authorizations for assigned facilities.
• Submit prior authorizations as per insurance regulations.
• Communicate with insurance companies for resolution.

Skills

Prior Authorization experience

Long-Term Care pharmacy experience

Knowledge of Framework LTC

Job description

JobRx, Inc. is hiring a Prior Authorization Specialist to manage prior authorization workflows remotely. The role includes submitting authorizations, working with insurance companies, and ensuring compliance with regulations. Ideal candidates may have prior authorization or long-term care pharmacy experience. Benefits include health insurance, a 401(k) match, paid time off, and a competitive salary based on experience.