Prior Authorization Coordinator

Job Summary

To support pharmacy claims processing, the part-time Prior Authorization Coordinator will review and process prior authorization requests, ensuring compliance with benefit plan parameters while working remotely in the Pacific time zone.

Key responsibilities:

• Complete new and renewal prior authorization requests for specialty and non-specialty drugs accurately and timely
• Communicate with members, pharmacies, and physician offices to facilitate the prior authorization process
• Monitor PA queues to ensure requests are updated and processed according to company guidelines

Required qualifications:

• High school diploma required; two-year degree in a related field preferred
• Some experience in pharmacy prior authorizations or retail pharmacy
• Proficiency in Microsoft Office 365 (Word, Excel, Outlook, etc.)
• Ability to work independently and manage multiple tasks effectively
• Demonstrated reliable work history