Prior Approval Clerk

2 weeks ago


Perth Amboy, New Jersey, United States HarborX Pharmacy Full time
Position Summary

We are seeking a Prior Approval Clerk to support our team at HarborX Pharmacy. The successful candidate will have a strong background in pharmacy operations and prior authorization processes.

About the Role

This is a full-time position with a competitive salary range of $60,000 - $80,000 per annum. Benefits include paid time off, holiday pay, and opportunities for growth and development.

Key Responsibilities
  • Review prior authorization requests for completeness and accuracy.
  • Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
  • Verify insurance coverage and determine prior authorization requirements.
  • Complete and submit prior authorization forms according to insurance guidelines.
  • Follow up on prior authorization requests to ensure timely approvals.
Requirements
  • High school diploma or equivalent required; Bachelor's degree preferred.
  • Minimum of 2 years of experience working as a Prior Authorization Specialist.
  • Strong knowledge of pharmacy operations, medication terminology, and insurance processes.
  • Familiarity with EHR and pharmacy management systems.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and collaboratively.
  • Attention to detail and strong organizational skills.


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