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Pharmacy Authorization Specialist

2 months ago

Austin, Texas, United States A-Line Staffing Solutions Full time
Job Summary

A-Line Staffing Solutions is seeking a skilled Pharmacy Authorization Specialist to join our team. As a Pharmacy Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary medications and treatments by processing prior authorizations in a timely and accurate manner.

Key Responsibilities
  • Phone Support: Provide professional and courteous phone assistance to providers, pharmacies, and members through the criteria-based prior authorization process.
  • Documentation: Maintain complete, timely, and accurate documentation of reviews.
  • Escalations: Transfer clinical questions, escalations, and judgment calls to the pharmacist team.
  • Outbound Calls: Make outbound calls to process prior authorizations received via fax and ePA.
  • Monitoring and Responding: Monitor and respond to inquiries via department mailboxes and other duties as assigned by the leadership team.
Requirements
  • Education: High school diploma or GED required.
  • Certification: PTCB certification and/or State license as a Pharm Tech required.
  • Experience: Prior authorization experience working for a health plan or specialty pharmacy is required.
  • Computer Skills: Computer savvy and data entry experience or remote experience preferred.
Benefits
  • Health Insurance: Benefits are available to full-time employees after 90 days of employment.
  • 401(k) Plan: 401(k) with a company match is available for full-time employees with 1 year of service.
  • Compensation: The compensation for this position is $18.75 per hour, paid biweekly.