The specialist is responsible for the initiation, clinical review, and submission of prior authorization requests for medications and supplies. They must collaborate with healthcare providers, insurance companies, and patients to ensure all necessary clinical documentation is obtained and processed accurately.
Our Company
Amerita
Overview
This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.
Shift: Monday-Friday 8:30am-5:30pm (MST or PST)
What We Offer:
DailyPay
Flexible Schedules
Competitive Pay with Shift Differentials
Health, Dental, Vision, and Life Insurance
Company-Paid Disability Insurance
Tuition Assistance & Reimbursement
Employee Discount Program
401k Plan
Paid Time Off
Non-Retail, Closed-Door Environment
Responsibilities
Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
Knowledgeable to perform all PA functions.
Qualifications
High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
1+ years pharmacy experience
Pharmacy or healthcare-related knowledge
Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
Basic math and analytical skills
Intermediate typing/keyboard skills
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
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