Prior Authorization Specialist (Mon-Fri 9:30am-6:00p EST)

Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships. SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.

About the Role

The Prior Authorization Specialist is responsible for obtaining prior authorizations for all prescriptions that require insurance carrier authorizations.

This position has no direct supervisory responsibilities.

Responsibilities

• Contact insurance carriers to verify the patient’s insurance eligibility benefits and requirements
• Request, track and obtain prior authorization from insurance carriers within the time allotted
• Request follow up and secure prior authorizations ahead of prescriptions leaving the pharmacy
• Communicate any insurance changes or trends among the team
• Maintains a level of productivity suitable for the department
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements including proper format
• Answering questions from patients, clerical staff and insurance companies
• Identifying and resolving Prior Authorization roadblocks through various means including contacting physicians
• Participating in educational activities and attending staff meetings
• Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations

Requirements

• Minimum 1 year of related experience required
• Pharmacy Technician Certification required (PTCB or NHA)
• Indiana and Pennsylvania State Pharmacy Technician license required, or willing to obtain before start date
• Proficiency in reading, writing and speaking English is required

Skills

• Knowledge of medical billing/collection practice
• Knowledge of business office procedures
• Knowledge of basic medical coding and third-party operating procedures and practices
• Ability to operate a computer, computer software and basic office equipment
• Ability to operate a multi-line telephone system
• Skilled in answering a telephone in a pleasant and helpful manner
• Ability to read, understand and follow oral and written instructions
• Ability to establish and maintain effective working relationships with patients, employees and the public

Physical Requirements

• Work is performed indoors with potential for exposure to safety and health hazards related to a home office environment
• Could periodically travel to other office and operational sites
• Prolonged periods of sitting at a desk and working on a computer

Benefits

• Competitive Medical, Dental, and Vision Insurance
• HSA/FSA
• Voluntary Hospital Indemnity, Critical Illness, Accident Insurance, and Short Term Disability
• Voluntary Life Insurance for Self, Spouse and Dependent
• Company-paid Basic Life Insurance and Long Term Disability
• Retirement plan and Employer match contribution with Profit Share
• Tuition Reimbursement program
• Company perks and Discount program
• Engaging Wellness and Financial Education Resources
• Employee Assistance Program
• Incentive Plans

Pay

Base Hourly Minimum: $18.00

Base Hourly Maximum: $21.00