Prior Authorization Coordinator

Job Summary

To support the review and processing of pharmacy claims, the fully remote Prior Authorization Coordinator will manage prior authorization requests, ensuring compliance with benefit plan parameters and providing exceptional service to members while residing 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 via telephone, email, and fax as necessary
• Monitor prior authorization 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 experience
• Proficiency in Microsoft Office 365 (Word, Excel, Outlook, etc.)
• Ability to work independently and manage multiple priorities effectively
• Demonstrated reliable work history