Pharmacy Prior Authorization Specialist
What You’ll Do
- Manage prior authorization requests and appeals with insurance carriers.
- Collaborate with physicians, pharmacists, and other departments.
- Ensure HIPAA compliance while handling sensitive patient information.
- Maintain accurate documentation of authorization details.
- Proactively monitor and renew expiring authorizations.
What You Bring
- Required: High School Diploma or GED, 1+ years of pharmacy or prior authorization experience, Pharmacy Technician License/Registration, Strong communication, organizational, and customer service skills, Self-motivated, organized, detail-oriented, and adaptable to changing priorities, 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
- PREFERRED: Associate degree or Certified Pharmacy Technician (PTCB), 3+ years of experience in pharmacy or prior authorizations, Specialty pharmacy experience
Company Benefits
- Medical
- Dental
- Vision
- 401k with a match
- Paid Time Off and Paid Holidays
- Tuition Reimbursement
- Quarterly Incentive Bonus
- Paid Volunteer Day
- Referral Incentive Program
- Company Paid Life Insurance
- Short/Long-Term Disability
Qualifications
High School Diploma or GED
1+ years of pharmacy or prior authorization experience
Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law)
Skills
Strong communication, organizational, and customer service skills
Self-motivated, organized, detail-oriented, and adaptable to changing priorities
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
Benefits
- Medical
- Dental
- Vision
- 401k with a match
- Paid Time Off and Paid Holidays
- Tuition Reimbursement
- Quarterly Incentive Bonus
- Paid Volunteer Day
- Referral Incentive Program
- Company Paid Life Insurance
- Short/Long-Term Disability
Schedule
Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST
Full-Time position working out of the State of Indiana.
This position may work remotely
Pay
Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before July 31, 2026