Remote Prior Authorization Specialist – Pharmacy

Insight Global; United States; Remote; USD 28,000 - 30,000; Full time

Benefits offered by this job

Bonuses available

Benefits starting day one

401(k) eligibility

Paid time off

Job summary

Insight Global is seeking Prior Authorization Technicians to work fully remote for a major healthcare client. You will support patient care by removing barriers to medication access, liaising with insurance companies and clinicians to obtain approvals, and assisting with financial assistance navigation.

The role includes handling pharmacy systems, inputting data, adjudicating claims, processing refills, and promoting adherence.

Qualifications

• Communicate directly with insurance companies to facilitate medication approvals.
• Navigate pharmacy operating systems to input data, adjudicate test claims, and develop action plans for follow-up.
• Document patient concerns, prior authorization status, and financial assistance needs across databases and EMR systems.

Responsibilities

• Communicate with insurers to facilitate approvals.
• Input data in pharmacy systems and adjudicate claims.
• Document patient concerns and authorization status across EMR systems.
• Review prescriptions with physicians to ensure patient care quality.
• Maintain records of patient communications.
• Assist patients with managing insurance claims.

Skills

Insurance communications

Data entry

Customer service

Phone support

Confidentiality

Tools

Pharmacy software

EMR systems

Job description

Insight Global is seeking Prior Authorization Technicians to work fully remote for a major healthcare client. You will support patient care by removing barriers to medication access, liaising with insurance companies and clinicians to obtain approvals, and assisting with financial assistance navigation.

The role includes handling pharmacy systems, inputting data, adjudicating claims, processing refills, and promoting adherence.