Senior Pharmacy Prior Authorization Specialist

Freedom Fertility | VFP Pharmacy Group by Evernorth; Boston (MA); Ibrido; USD 26.000 - 40.000; Tempo pieno

Descrizione del lavoro

Freedom Fertility | VFP Pharmacy Group by Evernorth is seeking a Pharmacy Prior Authorization Senior Representative to support high-touch programs, research benefits, and process orders. You will work with patients, providers, and internal teams, ensuring accurate prescriptions and timely authorizations.

The role requires pharmacy technician experience, certification, and familiarity with EMR systems and prior authorization tools.

Competenze

• High school diploma or GED is required.
• 2+ years of pharmacy technician experience and active certification.
• Proficient with prior authorization submission tools and EMR usage.
• Strong math, data entry and communication skills.

Mansioni

• Enter prescriptions and adjudicate claims accurately.
• Submit prior authorizations using clinic EMR and tools.
• Follow up on benefits checks and denials with payers.
• Communicate clearly with patients, providers and internal teams.
• Handle multiple tasks while maintaining attention to detail.
• Participate in special projects and contract-specific duties.

Conoscenze

Pharmacy experience

Prior authorization

Communication skills

Data entry

Formazione

High School Diploma or GED

Strumenti

CoverMyMeds

EMR systems

Microsoft Office

Descrizione del lavoro

Freedom Fertility | VFP Pharmacy Group by Evernorth is seeking a Pharmacy Prior Authorization Senior Representative to support high-touch programs, research benefits, and process orders. You will work with patients, providers, and internal teams, ensuring accurate prescriptions and timely authorizations.

The role requires pharmacy technician experience, certification, and familiarity with EMR systems and prior authorization tools.