Pharmacy Authorization Specialist

7 days ago


Atlanta, Georgia, United States BrightSpring Health Services Full time
Prior Authorization Specialist Job Description

At BrightSpring Health Services, we are seeking a skilled Prior Authorization Specialist to join our team. As a Prior Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary medication and supplies in a timely manner.

Key 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.
Requirements:
  • 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
Benefits:
  • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
  • Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
  • 401(k) Retirement Plan with Employer Match
  • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
  • Employee Discounts
  • Tuition Reimbursement
  • Paid Time Off & Holidays

We offer a dynamic and supportive work environment, with opportunities for growth and development. If you are a motivated and detail-oriented individual with a passion for pharmacy and healthcare, we encourage you to apply for this exciting opportunity.



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