medical authorization specialist

Drs Rubinstein & Ducoff Inc

<p><b>Job Overview</b><br/>We are seeking a proactive and detail-oriented Medical Insurance Authorization Specialist to join our healthcare team. In this vital role, you will be responsible for managing insurance authorizations, verifying coverage, and ensuring timely approval for patient services. Your expertise will help streamline the authorization process, reduce delays, and enhance patient care experiences. This position offers an exciting opportunity to work within a dynamic medical environment, utilizing your knowledge of managed care and medical coding to facilitate seamless insurance interactions.</p><p><b>Responsibilities</b></p><ul><li>Obtain prior authorization and pre-certification from insurance providers for oral sleep appliances and follow up appointments</li><li>Verify patient insurance coverage and benefits accurately using insurance portals and verification systems.</li><li>Review medical records, documentation, and clinical notes to support authorization requests in compliance with HIPAA regulations.</li><li>Utilize CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to prepare accurate documentation for insurance submissions.</li><li>Communicate effectively with healthcare providers, insurance companies, and patients to resolve authorization issues promptly.</li><li>Maintain detailed records of all authorization requests, approvals, denials, and follow-up actions in the medical records system.</li><li>Stay updated on managed care policies, insurance guidelines, and coding changes to ensure compliance and efficiency in the authorization process.</li></ul><p><b>Experience</b></p><ul><li>Prior experience working in a medical office setting or dental office environment is highly preferred.</li><li>Strong knowledge of managed care processes, insurance verification procedures, and medical billing practices.</li><li>Familiarity with HIPAA regulations to ensure patient confidentiality during all interactions.</li><li>Proficiency in medical terminology, medical records management, and medical coding including CPT, ICD-9, ICD-10, and ICD coding systems.</li><li>Experience with insurance authorization workflows within a healthcare or dental office setting is advantageous.</li><li>Excellent organizational skills with the ability to handle multiple tasks efficiently while maintaining attention to detail.</li><li>Office experience demonstrating proficiency with electronic health records (EHR) systems or similar software. Join us in making a difference by ensuring patients receive the care they need without unnecessary delays! We value energetic professionals who are eager to contribute their expertise in managed care and medical coding while providing exceptional service within a collaborative team environment.</li></ul><p>Pay: $24.23 - $29.18 per hour</p><p>Work Location: In person</p>

Medical Insurance Authorization Specialist

LifeNet Health

<div><div><b>AT LIFENET HEALTH, YOU ARE THE ADVANTAGE</b></div><div>
Every day, <b>YOU</b> help us to save lives, restore health, and bring hope to patients and families around the world. At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity.</div><div><br>
</div><div><b>Together</b>, we are united by a mission greater than ourselves, a purpose rooted in healing.</div><div><br>
</div><div><b>ABOUT THIS JOB</b><br>
<b>Location</b>:<b> </b>Remote</div><div><b>
Department</b>: Customer Experience<b>
</b></div><div><b>Schedule</b>: Monday &ndash; Friday, 11:15 a.m. &ndash; 8:00 p.m. (ET)</div><div><b>
Clinical Status</b>: Non- Clinical</div><div><b><br>
HOW YOU&rsquo;LL MAKE AN IMPACT</b><br>
The Medical Authorization Specialist supports LifeNet Health&rsquo;s reimbursement strategy by handling verification of insurance benefits and authorizations to ensure appropriate patient access to care. The role also serves as a subject matter expert for both our Sales and Marketing teams, as well as relevant insurance companies.</div><div></div><div><br>
Your work will have purpose every single day, contributing directly to life-changing outcomes.</div><div></div><p><b><br>
WHAT YOU&rsquo;LL DO</b></p><ul><li><b>
P</b><b>atient Authorization:</b> Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans. Utilizes payer-specific approved criteria to determine medical necessity or the clinical appropriateness for the company&rsquo;s products. Submits pertinent demographic and supporting clinical documentation with authorization requests timely to avoid unnecessary delays in patient treatment.</li><li><b>
Documentation:</b> Maintains and documents complete, timely, and accurate case information, including Protected Health Information (PHI). Maintains patient records to ensure delivery against individual and department metrics.</li><li><b>
P</b><b>olicy Interpretation:</b> Responsible for identifying medical insurance policies, interpreting coverage, and providing diagnosis coding based on company products.</li><li><b>
Patient Liaison:</b> Works with external customers to secure any additional information and medical documentation from the patient and/or prescribing health care provider.</li></ul><div></div><p><b><br>
WHAT YOU&rsquo;LL BRING</b><br>
<b>Minimum Requirements:</b></p><ul><li>
High school diploma or GED</li><li>
One (1) year of insurance verification or medical authorization experience involving medical record review.</li></ul><div></div><p><b><br>
Key Knowledge, Skills, &amp; Abilities:</b></p><ul><li><b>
Communication Skills:</b> Excellent verbal and written communication skills; ability to communicate and build relationships with all professionals at different levels within the organization.</li><li><b>
Time Management: </b>Ability to prioritize multiple, competing priorities and manage time/workload. Demonstrated ability to effectively prioritize and juggle multiple time sensitive projects, multi-task, identify project interdependencies and potential risks/pitfalls.</li><li><b>
Attention to Detail: </b>Ability to perform tasks thoroughly and with care; checks work to ensure high degree of accuracy/completeness and early/on-time delivery.</li><li><b>
Proficiency in Microsoft Office: </b>PowerPoint, Excel, Word, Outlook, Microsoft Suite.</li><li><b>
Medical Terminology &amp; ICD-10 Coding: K</b>nowledge of and interpretation skills.</li></ul><div><b><br>
WHY JOIN LIFENET HEALTH</b></div><div>
When you join LifeNet Health, you're not just taking a job, you&rsquo;re joining a mission-driven community dedicated to making a global impact through regenerative medicine. You&rsquo;ll be part of a workplace that values <b>authenticity, collaboration,</b> and the drive to <b>make a difference</b>.</div><div>
We recognize that great work happens when people feel supported. That&rsquo;s why our total rewards package is designed to help you thrive both professionally and personally.</div><p><b>
Here&rsquo;s how we support YOU:</b></p><ul><li><b>
Affordable Medical, Dental, and Vision Coverage</b>- Comprehensive care that won&rsquo;t break the bank.
</li><li><b>Profit Sharing Plan</b>- Share in the success you help create.
</li><li><b>403(b) Retirement Plan</b>- Invest in your future with confidence.
</li><li><b>Paid Parental Leave</b>- 6 weeks to bond with your newest family member.
</li><li><b>Corporate Sponsored Events</b>- Celebrate milestones and build connections.
</li><li><b>Generous Paid Time Off</b>- Because balance matters:
<ul><li>18 vacation days (based on position, tenure, and state laws)</li><li>
9 sick days (subject to local and state regulations)</li><li>
9 holidays (7 standard + 2 floating)</li></ul></li><li><b>
Flexible Work Program</b>- For approved roles, how and where you perform best.
</li><li><b>Tuition reimbursement</b>- We invest in your growth and education.
</li><li><b>Career &amp; Leadership Development</b>- Expand your impact and potential.
</li><li><b>Wellness Program</b>- Prioritize your health with holistic resources.
</li><li><b>Employee Assistance Program (EAP)</b>- Support for you and your household.
</li><li><b>Incredible teammates</b>- Collaborate with passionate, dedicated professionals.<br>
</li></ul><div><i>Note: All benefits are subject to eligibility requirements and may be modified at any time, with or without notice, unless otherwise required by law. This job posting does not constitute an employment contract and does not alter the &ldquo;at-will&rdquo; nature of employment at LifeNet Health.</i></div><div></div><div><b><br>
COMPENSATION
</b></div><div>Salary Range: $16.83 - $28.05 hourly<br>
</div><div><br>
Final compensation will be based on factors such as geographic location, qualifications, and prior relevant experience. The pay range for this position is $16.83 hourly (entry level qualifications) to $28.05 hourly (experienced in this role). Actual compensation may be higher based on the successful candidate&rsquo;s knowledge and relevant experience.</div><div><b><br>
EQUAL OPPORTUNITY EMPLOYER</b></div><div>
LifeNet Health is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other legally protected status.</div><div></div><div><br>
As part of our commitment to safety, we maintain a drug-free workplace and conduct pre-employment substance abuse screening.</div></div><p></p>

Medical Authorization Specialist 11:15 a.m. - 8:00 p.m. (ET) Monday - Friday

MD Pain

<p><b>JOB DESCRIPTION</b></p><p><b>Title:</b> Authorization Specialist Representative</p><p><b>JOB SUMMARY</b></p><p>The authorization position is responsible for all authorizations in relation to services provided by MD Pain providers.</p><p><b>ESSENTIAL FUNCTIONS</b></p><ul><li>Determine if authorization is required for ordered services.</li><li>Reviews procedure requests for authorization needed based upon insurance standards while drawing upon experience and general knowledge. Reviews documentation or contacts the provider when necessary to supplement the order to prove medical necessity.</li><li>Ensures appropriate documentation is available and complete before submitting the authorization to the insurance company to avoid repetitious submissions and denials.</li><li>Submits all authorizations with correct CPT and diagnosis codes.</li><li>Cross-references the procedure tasked against the doctor&rsquo;s orders to ensure all services are submitted for correctly.</li><li>Enters any authorization numbers and expiration dates into the task messages which are required for corresponding services.</li><li>Additional duties as assigned.</li></ul><p><b>REQUIREMENTS</b></p><p><b>Education &amp; Experience, Knowledge/Understanding</b></p><ul><li>High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience</li></ul><p><b>Skills </b></p><ul><li>Excellent oral, written, and listening communication skills.</li><li>Effective organization and time management skills with the ability to manage multiple task simultaneously and work in high-pressure situations</li><li>Excellent interpersonal skills and demeanor</li><li>Proficient in the use of a PC; in a Windows environment; in the use of the Internet; and in the use of MS Office Applications such as Outlook, Word and Excel</li><li>Proficient in the use of EMR systems such as Aprima</li></ul><p><b>Abilities</b></p><ul><li>Ability to adhere to strict attendance and punctually expectations</li><li>Ability to attend to details ensuring accuracy in a timely manner</li><li>Ability to work both independently, as well as collaboratively</li><li>Ability to identify and proactively solve problems</li><li>Ability to thrive in a patient-focused environment</li><li>Ability to demonstrate MD Pain&rsquo;s core values and performance principles of leadership, integrity, kindness, excellence, and service</li></ul><p><b>Physical Demands</b></p><ul><li>Occasionally required to stand, walk, sit, use hands and fingers, talk and hear</li><li>Occasionally lift and/or move up to 25 pounds</li><li>Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus</li><li>The noise level of the work environment is usually moderate</li></ul><p><b>PREFERENCES</b></p><ul><li>Previous experience in medical professional atmosphere</li><li>Proficient with government and private insurance</li><li>Knowledge of medical and insurance terminology, EMR</li></ul><p>Job Type: Full-time</p><p>Pay: From $23.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Willingness to travel:</p><ul><li>25% (Preferred)</li></ul><p>Work Location: In person</p>

Surgery Scheduler/ Medical Prior 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)

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>


Pharmacy Prior Authorization Specialist

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>

<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>

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Medical Insurance Authorization Specialist

Medical Authorization Specialist 11:15 a.m. - 8:00 p.m. (ET) Monday - Friday

Surgery Scheduler/ Medical Prior Authorization Specialist

Authorization Specialist (Remote)

Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist