Remote Prior Authorization Coordinator

Job Summary

A healthcare company providing specialized therapy management programs is filling a position for a Remote Prior Authorization Coordinator.

Candidates will be responsible for the following:

• Receiving requests for prior authorizations and ensuring they are properly and closely monitored within company set standards
• Reviewing accuracy and completeness of information requested and ensuring all supporting documents are present
• Collaborating with other departments to assist in obtaining prior authorizations/appeals

Qualifications Include:

• 2+ years experience in specialty pharmacy, home infusion, or other pharmacy prior authorization
• 1+ year of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
• Ability to effectively handle multiple priorities within a changing environment
• Experience in diagnosing, isolating and resolving complex issues
• Intermediate level skill in Microsoft Excel
• Intermediate level skill in Microsoft Word