Financial Clearance Authorization Specialist

Job Summary: Join the Pharmacy Authorization Team!

The Financial Clearance Authorization Specialist supports the quality, accuracy, and day-to-day effectiveness of Parkview's centralized retail medication prior authorization services. This position serves as a key resource for medication authorization workflow questions, complex cases, quality review, issue resolution, and communication between Parkview practices and offshore centralized authorization partners, Vee Healthtek.

The role works closely with pharmacy authorization staff, provider offices, operational leaders, and external service partners to ensure medication prior authorizations are processed accurately, efficiently, and according to established workflows. The specialist reviews authorization activity for accuracy, identifies workflow or documentation concerns, helps resolve complex or unclear cases, provides real-time guidance, and follows issues through resolution.

This is a highly collaborative, detail-oriented position requiring strong knowledge of medication prior authorization processes, payer requirements, pharmacy workflows, and electronic health record documentation. The successful candidate will be comfortable investigating individual cases, recognizing patterns across cases, communicating clear guidance, and helping improve processes when recurring issues are identified.

The position supports a centralized authorization operation serving the majority of PPG offices.  This team responds to practice questions through secure chat, inbox messages, RightFax, and email. This position is fully remote with only periodic onsite or in-person requirements.

Qualifications

Education  Must be a high school graduate or the equivalent with GED.

Experience  Minimum of two years experience in health care setting, call center, or clerical position, including experience using Microsoft Office applications required. One year insurance authorization experience preferred.

Other Qualifications  Must have excellent verbal and written communication skills. Must be able to demonstrate a working knowledge of general computer skills and applications. Demonstrates ability to multi-task and work independently using critical thinking skills.