Prior Approval Clerk
2 weeks ago
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 RoleThis 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.
- 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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