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Authorization Coordinator

2 months ago

Oklahoma City, Oklahoma, United States BrightSpring Health Services Full time
Company Overview

BrightSpring Health Services

Position Summary


Join our dedicated team at BrightSpring Health Services, a premier provider of specialty healthcare solutions committed to delivering complex pharmaceutical products and clinical services to patients in a home setting.

As a recognized leader in the specialty healthcare sector, we support numerous patients across the nation through our expanding network of facilities and healthcare professionals.

The Authorization Coordinator will play a crucial role in managing the initiation, clinical assessment, submission, and follow-up of prior authorization requests.

This position necessitates a solid understanding of pharmacy benefits and the prior authorization process.

Work Schedule
Monday to Friday, 8:30 AM - 5:30 PM Central Time

Benefits Offered
  • Comprehensive Medical, Dental & Vision Coverage, along with HSA & FSA Options
  • Supplemental Insurance – Accident, Critical Illness, and Hospital Indemnity
  • 401(k) Plan with Employer Matching Contributions
  • Company-Paid Life and AD&D Insurance, Short-Term and Long-Term Disability
  • Employee Discounts
  • Tuition Assistance Programs
  • Paid Time Off and Holidays
Key Responsibilities


Oversee the initiation, processing, and clinical review of prior authorization requests for medications and supplies, ensuring adherence to payer requirements and clinical standards.


Collaborate effectively with healthcare providers, insurance companies, and patients to collect necessary clinical documentation to support prior authorization submissions.

Accurately submit prior authorization requests in a timely manner, utilizing electronic submission systems and adhering to established protocols.

Demonstrate comprehensive knowledge to perform all functions related to prior authorizations.

Qualifications

High School Diploma or GED; licensed/registered pharmacy technician or relevant pharmacy experience preferred.

Minimum of 1 year of experience in a pharmacy setting.

Familiarity with pharmacy or healthcare-related concepts.

Understanding of pharmacy terminology, including sig codes, Roman numerals, and brand/generic medication names.

Basic mathematical and analytical skills.

Intermediate typing and keyboard proficiency.

About BrightSpring Health Services


BrightSpring Health Services is dedicated to providing specialty healthcare solutions focused on delivering complex pharmaceutical products and clinical services to patients outside of traditional healthcare settings.

We are committed to exceptional service, aiming to blend the operational efficiencies of a large organization with the agility, responsiveness, and entrepreneurial spirit of a local provider.


Additional Information

Percentage of Travel: 0-25%

Note:
We are aware of fraudulent activities where individuals impersonate our employees. Please be cautious of anyone requesting personal or financial information. We prioritize creating a top-tier candidate experience and will never ask for sensitive information during the recruitment process.