Prior Authorization Coordinator - Certified Pharmacy Technician

Job Summary

A company is looking for a Prior Authorization Coordinator to process prior authorization requests and ensure compliance with clinical protocols.

Key Responsibilities

• Process and finalize prior authorization requests within specified turnaround times
• Analyze and resolve prior authorization processing issues through communication with clients, members, and healthcare providers
• Document all prior authorization-related information and maintain confidentiality of member information

Required Qualifications and Education

• High school diploma or equivalent
• Active Certified Pharmacy Technician (State or National License)
• Minimum one-year prior authorization experience preferred
• Health plan or Pharmacy Benefit Manager experience preferred
• Moderate-to-high level of medication and disease state knowledge within the scope of pharmacy practice