Pharmacy Authorization Specialist
7 days ago
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.
- 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
- 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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