Prior Authorization Specialist / Remote

Responsibilities

• Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
• Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
• Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
• Knowledgeable to perform all PA functions.

Qualifications

• High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
• 1+ years pharmacy experience
• Pharmacy or healthcare-related knowledge
• Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
• Basic math and analytical skills
• Intermediate typing/keyboard skills

About the role

Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. We are committed to excellent service and strive to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.

Benefits

• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability
• Paid Time Off
• Tuition Reimbursement
• Employee Discount Program & DailyPay
• 401k
• Pet Insurance

Pay

USD $21.00 - $26.00 / Hour

Schedule

Monday-Friday 8:30am-5:30pm