Centralized Medication - Prior Authorization (PA) Specialist
Job Title:
Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor:
Job Description:
The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including insurance verification, gathering necessary clinical information from the electronic medical record, and timely communication with patients, prescribers, and physician office staffCandidates should possess knowledge of medical terminology as well as strong communication, interpersonal, and problem solving skillsThis person should be able to interact and communicate effectively with internal and external customers, physician office staff, all members of the organization and external pharmacy and insurance members as needed.
Qualifications:
High School Degree or GEDPharmacy Technician or Certified Medical Assistant with 2-3 years clinical experience, primary care or pharmacy setting preferred but not mandatoryPrior EMR experience with eClinicalWorks and/or prior authorizations desirableMust possess strong keyboarding skills as well as EMR and computer literacy.
General Duties:
1) Research and investigate Prior Authorization (PA) requirements by insurance company2) Obtain Prior Authorization status updates from the insurance company and communicate to patient, pharmacy, or physician's office as necessary3) Submit Prior Authorization application forms and all required supporting documentation to the insurance company4) Review medical record to obtain necessary patient demographic and clinical information and seek timely clarification from pharmacist or physician as necessary5) Review Prior Authorization denials and communicate reasons for denial to physicians and patients6) Serve as a subject matter expert for drug formularies and the prior authorization process in general7) Follows up with insurance companies in a timely manner regarding Prior Authorizations8) Provides excellent customer service as evidenced by a willingness and ability to assist customers (both internal and external) with their questions/concerns, treating customers in a friendly and helpful manner, and maintaining a positive attitude.
Job Type:
Full-timePay:
$18.
50 - $24.
00 per hour
Benefits:
401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insuranceSchedule:
Monday to Friday
Experience:
ICD-10:
1 year (Preferred)Work Location:
In person %297464% %%medinfo%% Recommended Skills Certified Medical Assistant Clinical Works Communication Computer Literacy Customer Service E Clinical Works Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
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on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3v770608kgxp773c8q', 'ExternalApply-j3v770608kgxp773c8q'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor:
Job Description:
The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including insurance verification, gathering necessary clinical information from the electronic medical record, and timely communication with patients, prescribers, and physician office staffCandidates should possess knowledge of medical terminology as well as strong communication, interpersonal, and problem solving skillsThis person should be able to interact and communicate effectively with internal and external customers, physician office staff, all members of the organization and external pharmacy and insurance members as needed.
Qualifications:
High School Degree or GEDPharmacy Technician or Certified Medical Assistant with 2-3 years clinical experience, primary care or pharmacy setting preferred but not mandatoryPrior EMR experience with eClinicalWorks and/or prior authorizations desirableMust possess strong keyboarding skills as well as EMR and computer literacy.
General Duties:
1) Research and investigate Prior Authorization (PA) requirements by insurance company2) Obtain Prior Authorization status updates from the insurance company and communicate to patient, pharmacy, or physician's office as necessary3) Submit Prior Authorization application forms and all required supporting documentation to the insurance company4) Review medical record to obtain necessary patient demographic and clinical information and seek timely clarification from pharmacist or physician as necessary5) Review Prior Authorization denials and communicate reasons for denial to physicians and patients6) Serve as a subject matter expert for drug formularies and the prior authorization process in general7) Follows up with insurance companies in a timely manner regarding Prior Authorizations8) Provides excellent customer service as evidenced by a willingness and ability to assist customers (both internal and external) with their questions/concerns, treating customers in a friendly and helpful manner, and maintaining a positive attitude.
Job Type:
Full-timePay:
$18.
50 - $24.
00 per hour
Benefits:
401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insuranceSchedule:
Monday to Friday
Experience:
ICD-10:
1 year (Preferred)Work Location:
In person %297464% %%medinfo%% Recommended Skills Certified Medical Assistant Clinical Works Communication Computer Literacy Customer Service E Clinical Works Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
external-apply-email-saved').
on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3v770608kgxp773c8q', 'ExternalApply-j3v770608kgxp773c8q'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
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