Pharmacy Prior Authorization Specialist

Responsibilities

• Assist in the initiation of new prior authorization requests to providers
• Identify the correct prior authorization form required for the patient’s insurance provider
• Cook with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
• Follow up with medical offices to check the status of prior authorization requests
• Aid in communicating the status of prior authorizations to both patients and providers
• Cook with medical offices to handle Appeals
• Respond to internal questions from other departments related to prior authorization requests

Requirements

• A high school diploma or GED is required, with a bachelor’s degree preferred
• Customer service or inbound call center experience is required
• Strong verbal and written communication skills are needed
• Solid technical skills, analytical ability, attention to detail, good judgment, and strong operational focus are essential
• A passion for providing top-notch patient care is desired
• The ability to work with peers in a team effort and cross-functionally is necessary
• Must be flexible to work shifts ranging from 8am - 8pm. Full time position, on-site in our Robinson location

Prior Qualifications

• One year(s) working with prior authorizations or insurance verification in a pharmacy
• Knowledge of pharmacy benefits and pharmacy claims

Hours/Location

• Shift: 40 hours/week - 11am-7pm or 12-8pm
• 100% onsite full time position in Chesterfield

Perks

• Health Benefits
• 401 K
• Holiday pay
• Overtime eligible
• Casual dress code
• Free Snacks

Why Join Us

• It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population
• We have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances
• We are the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year
• Our business model not only helps people, but drives economics that allow us to build a generational company
• We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers