Prior Authorization Specialist Job at BrightSpring Health Services, Oklahoma City, OK

OWFuWm1yalNuNVZWZUVtYmkxN1NVL0swaEE9PQ==
  • BrightSpring Health Services
  • Oklahoma City, OK

Job Description

Job Description

Job Description

Overview

This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.

Schedule:
Monday - Friday
8:30am - 5:00pm

Competitive Pay

Health, Dental, Vision & Life Insurance

Company-Paid Short & Long-Term Disability
Flexible Schedules & Paid Time Off
Tuition Reimbursement
Employee Discount Program & DailyPay
401k

Pet Insurance

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

Job Tags

Temporary work, Monday to Friday, Flexible hours,

Similar Jobs

Locum Jobs Online

Emergency Medicine Physician Assistant Job at Locum Jobs Online

 ...Physician Assistant | Emergency Medicine Location: Littleton, NH Employer: CompHealth Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days Start Date: ASAP About the Position LocumJobsOnline is working with CompHealth... 

Jackson Therapy Partners

Travel Outpatient Speech Language Pathologist Assistant (SLPA) Job at Jackson Therapy Partners

 ...Job Description Jackson Therapy Partners is seeking a travel Outpatient Speech Language Pathologist Assistant (SLPA) for a travel job in Fairbanks, Alaska. Job Description & Requirements ~ Specialty: Speech Language Pathologist Assistant (SLPA)~ Discipline:... 

Syntricate Technologies

Power BI Developer Job at Syntricate Technologies

 ...complex Data model from business requirements Expertise in using Power Query for Data transformation , ETL and setting up connectivity...  ...of Row level security Hands on experience on optimizing Power BI dashboards Strong communication skill and experience of handling... 

Life Time Fitness

Personal Trainer Job at Life Time Fitness

 ...Position Summary A Personal Trainer is responsible for providing various personal training services that offer members programs to maximize workout efficiency, improve fitness, increase stamina, enjoy their fitness experience and improve overall sense of well being... 

Jun Group

Associate Director, Media Sales (Mid-Market, Remote) Job at Jun Group

 ...transparency, and peace-of-mind. We are a warm, collaborative sales team and we are looking for someone who is passionate about digital media and ad tech. If you're an experienced salesperson who is looking to advance your media sales career, we would love to speak with...