• Job Description

  Req#: 442335

  Pharmacy Support Clerk

  Location: Pittsburgh, PA; This position is currently fully remote with occasional on-site work requirements

  Classification: Non-Exempt

  Status: Full Time

  Purpose

  The role of the Pharmacy Support Clerk is to initiate and/or follow up on prior authorizations in a timely manner. The Pharmacy Support Clerk will be speaking with patients, health plans and/or physicians in the efforts to obtain authorization coverage for specialty medications. This position functions in a relatively fast paced environment and works within the structure of a billing and reimbursement team. This role reports to the Supervisor, Claims.

  Responsibilities

  • Responsible for obtaining prior authorization information from insurance carrier for active patients
  • Verify patient eligibility and request/follow-up on prior authorization requests with health plans and physicians
  • Contact patients as needed to provide authorization status for active referrals
  • Documenting the prior authorization information in pharmacy systems
  • Assist with billing and reimbursement team projects as needed
  • Other duties as assigned by leadership

  Required Qualifications

  • High school diploma or general education degree (GED)
  • Strong written and verbal communication skills necessary to professionally and effectively convey ideas
  • Ability to multitask
  • Proficient with Excel and Word

  Preferred Qualifications

  • One to two years of billing reimbursement or authorization follow-up
  • Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy
  • Experience with CPR+
  • Proficient with EDS billing systems

  Work Environment

  PANTHERx Rare Pharmacy offers flexibility only to eligible employees to work hybrid or remotely without compromising work performance, productivity, or team collaboration. This role routinely uses standard office equipment such as computers and phones.

  Physical Demands

  While performing the duties of this job, the employee is regularly required to talk, hear, and see. The employee frequently is required to sit, stand, and walk; use hands and fingers, handle or feel; reach with hands and arms and see a computer screen. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.

  #ZR

  
  

• About the company

  PANTHERx Rare is the nation's leading rare disease pharmacy. We exist for people living with rare and orphan diseases who deserve the best medicine can offer.

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