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Prior Authorization Specialist
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Job Description
- Req#: 168188
Employer Industry: Pharmaceutical Services
Why consider this job opportunity:
- Salary up to $15.25 per hour
- DailyPay option available for flexible pay scheduling
- Competitive pay with shift differentials
- Comprehensive benefits including health, dental, vision, and life insurance
- Opportunities for career advancement within a rapidly growing organization
- Hybrid work schedule offering flexibility between home and office
What to Expect (Job Responsibilities):
- Complete prior authorization paperwork for pharmacy claims by collaborating with prescribers and facility contacts
- Follow up on all claims requiring prior authorization within four to five business days
- Track and review claims in QuickBase, providing weekly updates to the Director of Pharmacy
- Assist the Billing Department in resolving unbilled claims at month-end close
- Utilize various software tools to complete daily workflow and advocate for clients as needed
What is Required (Qualifications):
- High School Diploma or General Education Diploma required
- Kentucky Pharmacy Technician License preferred
- Excellent customer service and communication skills, both written and verbal
- Ability to prioritize tasks and meet deadlines effectively
- Experience in a healthcare billing environment, preferably in pharmacy
How to Stand Out (Preferred Qualifications):
- Familiarity with online claims processing and Medicaid and Medicare billing practices
- Proficient with Microsoft Word and Excel
- Strong multi-tasking abilities and advanced technical skills
#PharmaceuticalServices #CareerGrowth #HybridWork #CompetitivePay #HealthcareBilling
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