Prior Authorization Specialist

Job Summary

A company is looking for a Prior Authorization Specialist - Pharmacy.

Key Responsibilities

• Assist patients and providers with medication pre-authorization processes as per insurance requirements
• Verify insurance eligibility and benefits, documenting information in the EMR
• Collaborate with clinical departments to ensure timely processing of pre-authorization requests

Required Qualifications, Training, and Education

• High school diploma or GED preferred
• Experience as a medical assistant, pharmacy technician, or in prior authorization work required
• Knowledge of medical terminology preferred
• Familiarity with medical insurance concepts and referrals/pre-authorizations preferred