Pharmacy Prior Authorization Specialist
Location
United States
Posted
4 days ago
Salary
Not specified
No structured requirement data.
Job Description
Buffalo, NY | Full-Time | Starting at $23.00/hr and up
- Medical; Dental; Vision
- 401k with a match
- Paid Time Off and Paid Holidays
- Tuition Reimbursement
- Quarterly Incentive Bonus
- Paid Volunteer Day
- Referral Incentive Program
- Company Paid Life Insurance; and Short/Long-Term Disability
- A career with purpose: Help patients access life-saving medications.
- Supportive culture: We value teamwork, respect, integrity, and passion.
- Growth opportunities: We invest in your professional and personal development.
- Manage prior authorization requests and appeals with insurance carriers.
- Collaborate with physicians, pharmacists, and other departments.
- Ensure HIPAA compliance while handling sensitive patient information.
- Maintain accurate documentation of authorization details.
- Proactively monitor and renew expiring authorizations.
- High School Diploma or GED
- 1+ years of pharmacy or prior authorization experience
- Registration with Board of Pharmacy (as required by state law)
- Strong communication, organizational, and customer service skills
- Self-motivated, organized, detail-oriented, and adaptable to changing priorities
- Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
- Associate degree or Certified Pharmacy Technician (PTCB)
- 3+ years of experience in pharmacy or prior authorizations
- Specialty pharmacy experience
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