ResCare Community Living
Prior Authorization Specialist / Remote
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Job Description
- Req#: 173890
Employer Industry: Home Infusion Therapy
Why consider this job opportunity:
- Salary up to $23.00 per hour
- Comprehensive health benefits including Dental, Vision, and Life Insurance
- Flexible schedules with Paid Time Off and Tuition Reimbursement
- Company-paid Short & Long-Term Disability
- Employee Discount Program and DailyPay options
- Opportunity to work in a rapidly growing industry focused on patient care
What to Expect (Job Responsibilities):
- Initiate, process, and oversee clinical review of prior authorization requests for medication and supplies
- Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information
- Submit prior authorization requests accurately and in a timely manner using electronic submission platforms
- Ensure compliance with payer requirements and clinical guidelines throughout the prior authorization process
- Perform all functions related to prior authorization as required
What is Required (Qualifications):
- High School Diploma or GED, or licensed/registered pharmacy technician, or previous experience in pharmacy
- Minimum of 1 year of pharmacy experience
- Knowledge of pharmacy or healthcare-related terminology
- Familiarity with pharmacy terminology including sig codes, Roman numerals, and brand/generic names of medications
- Basic math and analytical skills, with intermediate typing/keyboard proficiency
How to Stand Out (Preferred Qualifications):
- Previous experience in a pharmacy setting or healthcare-related role
#HomeInfusion #PharmacyCareers #HealthcareJobs #PriorAuthorization #PatientCare
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