authorization specialist

Southwest Autism Research & Resource Center

<div><div><b>Authorization Specialist</b></div>
<div><b>On-site</b><br>
<b>Phoenix, AZ</b><br>
<br>
 At SARRC, we are dedicated to advancing research and providing support for individuals with autism and their families. We are looking for a detail-oriented Authorization Specialist who thrives on precision and plays a critical role in ensuring our clients receive the services they need through seamless funding management.<br>
</div><div>As an Authorization Specialist, you are the bridge between clinical services and sustainable funding. Your expertise in insurance landscapes ensures that every client&rsquo;s record is accurate, every authorization is secured, and every billing hurdle is proactively cleared.</div>
<div></div><div><b>Your Role at SARRC</b></div>
<div><ul><li><p><b>Authorization Management:</b> Obtain initial authorizations, manage reauthorizations, and handle necessary adjustments to ensure continuous care for our clients. Verifies, monitors, and assist with insurance verification as needed to ensure payment for services.</p>
</li><li><p><b>Funding Advocacy:</b> Navigate complex insurance landscapes and provide essential support in managing and resolving claim denials.</p>
</li><li><p><b>Quality Assurance:</b> Identify errors in funding documentation and implement corrections to maintain the highest standards of record accuracy.</p>
</li><li><p><b>Data Integrity:</b> Ensure all client funding information is documented accurately and within required timelines to prevent billing delays.</p><br>
</li></ul></div><div></div><div><b>Skills You Bring</b></div>
<div><ul><li><p><b>Expert Knowledge of Funding Sources:</b> Deep understanding of insurance providers, clinical funding requirements, and the authorization lifecycle.</p>
</li><li><p><b>Analytical Precision:</b> A &quot;hawk-eye&quot; for detail with the ability to spot discrepancies in complex data and rectify them quickly.</p>
</li><li><p><b>Proactive Problem Solving:</b> The ability to troubleshoot denials and navigate the nuances of insurance appeals and adjustments.</p>
</li><li><p><b>Organization &amp; Timing:</b> Exceptional time-management skills to meet strict deadlines for reauthorizations and documentation.</p><br>
</li></ul></div><div><br>
<b>Qualifications</b></div>
<ul><li>High School diploma or GED</li>
<li>Minimum of two years of experience in a medical billing environment within a medically specialized enterprise.</li>
<li>Knowledge of insurance guidelines; including Medicare, HMO, PPO, Behavioral Health carve-outs, Arizona Medicaid (AHCCCS) and EAP services.</li>
<li>Knowledge of CPT, ICD-10, HCPCS coding.</li>
</ul><div><b>Preferred Qualifications</b></div>
<ul><li>Associates Degree preferred (years of experience may be considered).</li>
<li>Knowledge of diagnostic testing, medical terminology, and Behavior Analytic treatment for individuals with Autism Spectrum Disorder.</li>
<li>Knowledge of ABA CPT codes is preferred.
</li></ul><div><br>
<b>Salary</b></div>
<div>Starts at $20/hr</div>
<div></div><div><b>Hours</b></div>
<div>Full-time</div>
<div></div><div><div><b>Robust Benefits Package</b></div>
<ul><li>Up to 16 days per year paid time off and 8 paid holidays</li>
<li>Medical, dental and vision insurance (majority of coverage paid for by SARRC)</li>
<li>401(k) with 50% company match up to 6%</li>
<li>Internal job growth opportunities</li>
<li>Professional development annual benefit of $1000<br>
</li></ul><div><b>Who We Are:</b> Established in 1997, the Southwest Autism Research &amp; Resource Center (SARRC) is an internationally recognized nonprofit organization dedicated to autism research, education, evidence-based treatment, and community outreach. We are one of the only autism organizations in the world that provides a lifetime of services for individuals and their families while also conducting cutting edge research.</div></div></div>

Authorization Specialist

Christian Healthcare Ministries

<div>
 <p>
  The Authorization Specialist exists to support Christian Healthcare Ministries by accurately reviewing and authorizing member medical bills, needs, and incidents in alignment with CHM Guidelines. This role plays a critical part in ensuring members receive timely, consistent, and guideline-compliant determinations while upholding CHM&rsquo;s commitment to accuracy, service excellence, and compassionate care.
 </p>
 <p>
  <br/>
 </p>
 <p>
  At the highest level, the Authorization Specialist is accountable for detailed eligibility review, precise documentation, and effective collaboration to support sound adjudication decisions and a positive member experience.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   WHAT WE OFFER
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   Compensation based on experience.
  </li>
  <li>
   Faith and purpose-based career opportunity!
  </li>
  <li>
   Fully paid health benefits
  </li>
  <li>
   Retirement and Life Insurance
  </li>
  <li>
   12 paid holidays PLUS birthday
  </li>
  <li>
   Lunch is provided DAILY.
  </li>
  <li>
   Professional Development
  </li>
  <li>
   Paid Training
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   PRIMARY RESPONSIBILITIES
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   Review and authorize medical bills, needs, and incidents by verifying eligibility and ensuring compliance with CHM Guidelines and established authorization criteria.
  </li>
  <li>
   Perform detailed membership and eligibility reviews to identify key factors that impact authorization decisions and documentation accuracy.
  </li>
  <li>
   Enter, update, and maintain member and bill information accurately and efficiently within CHM systems to ensure data integrity.
  </li>
  <li>
   Collaborate cross-functionally with internal departments to research and resolve discrepancies or missing information related to authorization decisions.
  </li>
  <li>
   Respond to member and internal correspondence within established service timelines (24&ndash;48 hours), maintaining professionalism and clarity.
  </li>
  <li>
   Support service excellence and member care by demonstrating a courteous, approachable, and service-oriented demeanor in all interactions.
  </li>
  <li>
   Participate in ongoing training and development to build knowledge of CHM Guidelines, processes, and healthcare-related concepts.
  </li>
  <li>
   Uphold CHM&rsquo;s mission, values, and organizational culture in daily work and decision-making.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   CORE COMPETENCIES &amp; SKILLS
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <ul>
  <li>
   Attention to detail and accuracy
  </li>
  <li>
   Task management and prioritization
  </li>
  <li>
   Analytical review and problem-solving
  </li>
  <li>
   Written and verbal communication
  </li>
  <li>
   Computer proficiency and system navigation
  </li>
  <li>
   Collaboration and cross-team communication
  </li>
  <li>
   Time management and accountability
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   REQUIRED QUALIFICATIONS &amp; CONSIDERATIONS
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  Education
 </p>
 <ul>
  <li>
   High school diploma or equivalent required.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Experience &amp; Skill Readiness
 </p>
 <ul>
  <li>
   Ability and willingness to learn medical, healthcare, and CHM-specific guidelines through structured on-the-job training.
  </li>
  <li>
   Comfort using computers, data-entry systems, and learning new internal platforms.
  </li>
  <li>
   Prior experience in administrative review, healthcare support, eligibility, or billing environments is a plus but not required.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  Additional Considerations
 </p>
 <ul>
  <li>
   Alignment with CHM&rsquo;s mission, values, and service-oriented culture.
  </li>
  <li>
   Ability to work independently while remaining accountable to team standards and timelines.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   About Christian Healthcare Ministries
  </strong>
 </p>
 <p>
  <em>
   Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other&rsquo;s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God&rsquo;s presence as Christians share each other&rsquo;s medical bills.
  </em>
 </p>
</div>


Authorization Specialist (Remote)

PREVEA HEALTH

<div><p><i>This position is full-time 40-hours per week. It is full-time benefit eligible.</i><br>
<br>
Prior Authorization Specialist</p><p><br>
<br>
Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health&mdash;they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care.
<br>
<br>
<b>Job Summary</b><br>
The Prior-Authorization Specialist at Prevea Health is responsible for obtaining and verifying prior authorizations within the appropriate timeline for procedures, diagnostic tests, services and medications. This role ensures that all requests comply with insurance company policies, guidelines, and healthcare regulations. The specialist will collaborate with healthcare providers, patients, and insurance representatives to obtain the necessary approvals.<br>
<br>
<b>What you will do</b></p>
<ul>
<li>Identify and obtain what is required for preauthorization of procedures, diagnostic tests, services and medications. Seeing the process through completion to minimize denial of claims.</li>
<li>Coordinate with department providers and staff, coding/billing staff, and insurance representatives to ensure understanding of information needed to obtain proper authorization for payment within the appropriate timelines.</li>
<li>Review and interpret insurance coverage and policy guidelines to determine authorization requirements.</li>
<li>Communicate with patient as needed for procedures, diagnostic tests, services and medications to provide them with information regarding their coverage.</li>
<li>Accurately document and communicate final determination in the patient's medical record and to appropriate staff, providers, or patient.</li>
<li>Work with internal teams to identify and address trends or issues in the prior authorization process.</li>
<li>Provide feedback and recommendations to improve prior authorization workflows and efficiency.</li></ul><br>
<p><br>
<b>Education Qualifications</b></p>
<ul>
<li>High School Diploma and/or GED Required</li>
</ul>
<p><b>Experience Qualifications</b></p>
<ul>
<li>1-3 years One year of experience in a medical or insurance role Required</li>
</ul>
<p><b>Skills and Abilities</b></p>
<ul>
<li>Display proficient telephone and computer skills with clear and professional speaking abilities.</li>
<li>Excellent organizational skills.</li>
<li>Excellent communication skills and follow through with internal and external customers.</li>
<li>Knowledge of insurance and medical terminology.</li>
<li>Basic knowledge of current CPT/ICD coding.</li>
<li>Able to provide exceptional customer service by assessing patient needs, meeting quality standards, and evaluating satisfaction.</li>
<li>Capable of being empathetic and responsive to patient's needs by actively listening, asking appropriate questions, and continually looking for ways to provide assistance.</li>
<li>Able to efficiently multi-task and adapt to fast-paced environments with frequently changing protocols and processes.</li>
<li>Capable of effectively and positively interacting with staff members throughout the company.</li>
<li>Promote teamwork and provide a supportive environment throughout the organization.</li>
<li>Display grammar, spelling, and punctuation knowledge to accurately document patient information.</li>
<li>Able to work independently and think critically using provided information.</li>
</ul>
<p><b>Physical Demands</b></p>
<ul>
<li>Sit - Constantly</li>
<li>Stand - Rarely</li>
<li>Walk - Rarely</li>
<li>Drive - Rarely</li>
<li>Climb (Stairs/Ladders) - Rarely</li>
<li>Bend (Neck) - Frequently</li>
<li>Gross Manipulation (Hands/Arms) - Constantly</li>
<li>Squat - Rarely</li>
<li>Twist/Turn (Neck) - Occasionally</li>
<li>Lift/Carry 0-10 lbs. - Rarely</li>
<li>Lift/Carry 11-25 lbs. - Rarely</li>
<li>Lift/Carry 26-35 lbs. - Rarely</li>
<li>Push/Pull up to 10 lbs. - Rarely</li>
<li>Push/Pull 11-25 lbs. - Rarely</li>
<li>Push/Pull 26-35 lbs. - Rarely</li>
<li>Reach (Above shoulder level) - Rarely</li>
<li>Reach (Below shoulder level) - Constantly</li>
<li>Simple Grasping (Hands/Arms) - Constantly</li>
<li>Fine Manipulation (Hands/Arms) - Constantly</li>
<li>Gross Manipulation (Hands/Arms) - Constantly</li></ul><br>
<p><br>
<b>Working Conditions</b></p>
<ul>
<li>Noise - Occasionally</li></ul><br>
<p><br>
<b>Travel Requirements</b></p>
<ul>
<li>5%</li></ul><br>
<p><br>
<b>Hearing Requirements</b></p>
<ul>
<li>Hears Whispers &lt; 3 feet - Constantly</li>
<li>Hears Whispers 3-8 feet - Constantly</li></ul><br>
<p><br>
<b>Vision Requirements</b></p>
<ul>
<li>Color Discrimination - Constantly</li>
<li>Near Vision (Correctable to Jaeger 2 or 20/40 binocular) - Constantly</li>
<li>Distance Vision (Correctable to Snellen chart 20/40 binocular) - Constantly</li></ul><br>
<p><br>
Prevea is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify</p></div>

Prior Authorization Specialist

UpScriptHealth

<p><b>Company Description: </b></p><p>At UpScript Health, we believe patients deserve access to medications through experiences that work for them. Our proprietary, best-in-class technology allows patients to participate in personal health screenings, consult with physicians or nurse practitioners, utilize insurance benefits for medications when appropriate, and receive home delivery of medications. All of this is done in an easy, quick, and discrete process.</p><p>This is a chance to work in a great environment and be a part of a progressive organization dedicated to the well-being of our patients and team members and a leader in the field of telehealth and patient care.</p><p><b>Job Overview:</b></p><p>We are seeking a highly skilled and detail-oriented Prior Authorization &amp; Referral Management Specialist to join our dynamic tele-healthcare team. This individual will play a critical role in managing the prior authorization process, referral coordination, and insurance-related communications. The ideal candidate will have experience working with prior authorization systems, collaborating with insurance providers, and coordinating care for patients, ensuring that all medication and treatment plans are aligned with insurance requirements.</p><p><b>Key Responsibilities:</b></p><ul><li>Submit and manage prior authorization requests through <b>CoverMyMeds</b> and payer portals</li><li>Document all activity accurately and thoroughly in <b>Salesforce</b></li><li>Monitor PA status and proactively follow up with insurance companies</li><li>Communicate with patients both verbally and in writing to explain prior authorization processes, answer questions, etc.</li><li>Coordinate with pharmacies to resolve claim rejections</li><li>Track denials and prepare appeals as needed</li><li>Maintain compliance with HIPAA and all regulatory requirements</li><li>Identify workflow improvements to increase efficiency and approval rates</li><li>Collaborate with teammates to ensure timely and accurate completion of tasks.</li></ul><p><b>Qualifications:</b></p><p>● Minimum of 2 years of patient support experience in the healthcare industry.</p><p>● Proven experience with prior authorization systems (Cover My Meds, PromptPA, SureScripts, etc.).</p><p>● Strong understanding of insurance benefit investigations, prior authorization processes, and status follow-up.</p><p>● Previous experience in a healthcare setting, with a solid understanding of HIPAA, medical records, documentation, and healthcare terminology.</p><p>● Proficiency in EMR systems (e.g., Athena, Salesforce) and experience working with multiple healthcare software platforms.</p><p>● Comfortability with Google Workspace (Drive, Sheets, Docs, Help Center, Email), Slack, and other web-based tools for communication and record-keeping.</p><p>● Experience with a multi-phone system, handling both incoming and outgoing calls effectively.</p><p>● Ability to communicate with patients clearly, empathetically, and professionally, both verbally and in writing.</p><p>● Excellence in documenting medical records, ensuring clarity, accuracy, and compliance.</p><p>● Ability to work collaboratively with teammates, communicating effectively to meet patient and team needs.</p><p>● Strong organizational skills with the ability to prioritize and manage multiple tasks.</p><p>● Willingness to ask for help when needed to ensure tasks are completed effectively and efficiently.</p><p><b>Preferred Skills:</b></p><p>● Experience in a fast-paced, high-volume healthcare environment.</p><p>● Familiarity with insurance policies, billing codes, and healthcare compliance.</p><p>● Self-directed with an ability to manage competing priorities while maintaining a focus on patient care and service.</p><p><b>Why Join Us:</b></p><p>● Opportunity to work with a collaborative and compassionate team.</p><p>● Competitive salary and benefits.</p><p>● Professional growth and development opportunities.</p><p>● Flexible working arrangements in a supportive work environment.</p><p>● Paid vacation, sick time</p><p>● Company supported health, dental, vision and life insurance</p><p>● 401k with 4% company match after 6 months</p><p>Job Type: Full-time</p><p>Pay: $21.00 - $22.00 per hour</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Location:</p><ul><li>Remote (Required)</li></ul><p>Work Location: Remote</p>

Onco360

<div><div><b>Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy</b><br>
<i>Waltham, MA</i> | <i>Full-Time</i> | <i>Starting at $23.00/hr and up</i></div>
<div></div><div><b>Join a mission-driven team making a difference in the lives of cancer and rare disease patients.</b></div>
<div></div><div>Onco360 Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> to join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
<div></div><div><b>Company Benefits</b></div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul> <p></p><div><b>Why Join Us?</b></div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul><p></p><div><b>What You&rsquo;ll Do</b></div>
<div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div><b>How You&rsquo;ll Do This</b></div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul> <p></p><div><b>What You Bring</b></div>
<div><b>Required:</b></div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div><b>Preferred:</b></div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><p></p><div><b>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</b></div>
<div></div><div><b>#Company Values: Teamwork, Respect, Integrity, Passion</b></div></div>

Pharmacy Prior Authorization Specialist

<div><div><b>Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy</b><br>
<i>New Hyde Park, NY</i> | <i>Full-Time</i> | <i>Starting at $25.00/hr and up</i></div>
<div></div><div><b>Join a mission-driven team making a difference in the lives of cancer and rare disease patients.</b></div>
<div></div><div>Onco360 Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> to join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.</div>
<div></div><div><b>Company Benefits</b></div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Quarterly Incentive Bonus</li>
<li>Paid Volunteer Day</li>
<li>Referral Incentive Program</li>
<li>Company Paid Life Insurance; and Short/Long-Term Disability</li>
</ul> <p></p><div><b>Why Join Us?</b></div>
<ul><li>A career with purpose: Help patients access life-saving medications.</li>
<li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li>
<li>Growth opportunities: We invest in your professional and personal development.</li>
</ul><p></p><div><b>What You&rsquo;ll Do</b></div>
<div>The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.</div>
<div></div><div><b>How You&rsquo;ll Do This</b></div>
<ul><li>Manage prior authorization requests and appeals with insurance carriers.</li>
<li>Collaborate with physicians, pharmacists, and other departments.</li>
<li>Ensure HIPAA compliance while handling sensitive patient information.</li>
<li>Maintain accurate documentation of authorization details.</li>
<li>Proactively monitor and renew expiring authorizations.</li>
</ul> <p></p><div><b>What You Bring</b></div>
<div><b>Required:</b></div>
<ul><li>High School Diploma or GED</li>
<li>1+ years of pharmacy or prior authorization experience</li>
<li>Registration with Board of Pharmacy (as required by state law)</li>
<li>Strong communication, organizational, and customer service skills</li>
<li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li>
<li>Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds</li>
</ul><div><b>Preferred:</b></div>
<ul><li>Associate degree or Certified Pharmacy Technician (PTCB)</li>
<li>3+ years of experience in pharmacy or prior authorizations</li>
<li>Specialty pharmacy experience</li>
</ul><p></p><div><b>Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.</b></div>
<div></div><div><b>#Company Values: Teamwork, Respect, Integrity, Passion</b></div></div>

Onco360 Oncology Pharmacy

<div>
 <strong>
  Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy
  <br/>
  <br/>
 </strong>
 <em>
  Houston, TX
 </em>
 |
 <em>
  Full-Time
 </em>
 |
 <em>
  Starting at $23.00/hr and up
  <br/>
  <br/>
 </em>
 <strong>
  Join a mission-driven team making a difference in the lives of cancer patients.
  <br/>
  <br/>
 </strong>
 Onco360 Pharmacy is seeking a
 <strong>
  Pharmacy Prior Authorization Specialist
 </strong>
 to join our dedicated team in Houston, TX. This is a full-time position ideal for candidates local to the area.
 <strong>
  Remote work possible after initial on-site training.
  <br/>
  <br/>
 </strong>
 <strong>
  Company Benefits
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Medical; Dental; Vision
  </li>
  <li>
   401k with a match
  </li>
  <li>
   Paid Time Off and Paid Holidays
  </li>
  <li>
   Tuition Reimbursement
  </li>
  <li>
   Quarterly Incentive Bonus
  </li>
  <li>
   Paid Volunteer Day
  </li>
  <li>
   Referral Incentive Program
  </li>
  <li>
   Company Paid Life Insurance; and Short/Long-Term Disability
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Join Us?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   A career with purpose: Help patients access life-saving medications.
  </li>
  <li>
   Supportive culture: We value teamwork, respect, integrity, and passion.
  </li>
  <li>
   Growth opportunities: We invest in your professional and personal development.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You&rsquo;ll Do
  <br/>
  <br/>
 </strong>
 The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
 <br/>
 <br/>
 <strong>
  How You&rsquo;ll Do This
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Manage prior authorization requests and appeals with insurance carriers.
  </li>
  <li>
   Collaborate with physicians, pharmacists, and other departments.
  </li>
  <li>
   Ensure HIPAA compliance while handling sensitive patient information.
  </li>
  <li>
   Maintain accurate documentation of authorization details.
  </li>
  <li>
   Proactively monitor and renew expiring authorizations.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You Bring
  <br/>
  <br/>
 </strong>
 <strong>
  Required:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High School Diploma or GED
  </li>
  <li>
   1+ years of pharmacy or prior authorization experience
  </li>
  <li>
   Registration with Board of Pharmacy (as required by state law)
  </li>
  <li>
   Strong communication, organizational, and customer service skills
  </li>
  <li>
   Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  </li>
  <li>
   Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Associate degree or Certified Pharmacy Technician (PTCB)
  </li>
  <li>
   3+ years of experience in pharmacy or prior authorizations
  </li>
  <li>
   Specialty pharmacy experience
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
 </strong>
</div>


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