Specialist I, Prior Authorization-Lumicera

Navitus Health Solutions; Madison (WI); Remote; USD 40,000 - 60,000; Full time

Job summary

A healthcare service provider is seeking a Prior Authorization Specialist I to facilitate prior authorization for patients. Responsibilities include answering calls, contacting healthcare professionals, and managing workflow. Candidates should have a high school diploma, pharmacy support experience, and strong communication skills. This remote position offers competitive benefits including health insurance and paid time off.

Benefits

Top industry benefits for health, dental, and vision insurance

20 days paid time off

401K company match of up to 5%

Qualifications

• High school diploma or GED required.
• Minimum two years pharmacy support experience preferred.
• Ability to work shifts based on department needs.

Responsibilities

• Answer inbound calls from patients, prescribers, and other healthcare professionals.
• Contact doctors to obtain necessary information.
• Manage the assigned workflow queues.
• Accurate and thorough documentation of information.

Skills

Communication skills

Customer service

Attention to detail

Education

High school diploma or GED

Some college preferred

CPhT Preferred

Job description

Overview

Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties.

Is this you? Find out more below!

Responsibilities

• Answer inbound calls from patients, prescribers, and other healthcare professionals
• Contact doctors to obtain necessary information
• Manage the assigned workflow queues
• Accurate and thorough documentation of information and prescription order setup
• Act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
• Other duties as assigned

Qualifications

• High school diploma or GED
• Some college preferred
• CPhT Preferred
• Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure
• Minimum two years pharmacy support experience or healthcare environment experience preferred
• Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program - up to $750!

Location: Remote • Country: US