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Authorization Specialist

2 months ago

Fort Lauderdale, Florida, United States SPECIALTY RX FL LLC Full time
Authorization Representative Job Description

SpecialtyRx, a leading Long-Term Care pharmacy, is seeking a skilled Authorization Representative to join our Billing Department. As a key member of our team, you will play a crucial role in ensuring timely and accurate authorization of high-cost medications for our long-term care facilities and assisted living communities.

Responsibilities:
  • Evaluate medication orders and prescriptions from long-term care facilities to identify high-cost medications requiring authorization.
  • Liaise with facility staff to gather patient information and clinical documentation, and initiate the authorization process for high-cost drugs.
  • Collaborate with healthcare providers and payers to address any authorization-related queries or concerns.
  • Maintain accurate records of authorization requests, approvals, and denials.
  • Provide guidance to facility staff on medication authorization procedures and requirements.
  • Stay updated on regulatory guidelines and payer policies related to high-cost drug authorizations.
  • Communicate effectively with internal teams and external clients regarding authorization status and issues.
  • Participate in training sessions and quality improvement initiatives to enhance authorization processes.
Qualifications:
  • Licensed Pharmacy Technician required.
  • Experience in Long Term Care Pharmacy preferred.
  • Courteous and polite phone skills.
  • Computer literate.
  • Previous experience in Retail pharmacy a must.
  • Must be detail oriented.
  • Must be able to multitask.

Remote Hours: 5:00pm - 1:30am, Tuesdays - Saturdays

EEO Statement: SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state or local law.