Prior Authorization Specialist / Remote
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Amerita
CO
Summary
The specialist is responsible for the initiation, clinical review, and submission of prior authorization requests for medications and supplies. They must collaborate with healthcare providers, insurance companies, and patients to ensure all necessary clinical documentation is obtained and processed accurately.
Job Description
Our Company
Amerita
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.
Shift: Monday-Friday 8:30am-5:30pm (MST or PST)
What We Offer:
- DailyPay
- Flexible Schedules
- Competitive Pay with Shift Differentials
- Health, Dental, Vision, and Life Insurance
- Company-Paid Disability Insurance
- Tuition Assistance & Reimbursement
- Employee Discount Program
- 401k Plan
- Paid Time Off
- Non-Retail, Closed-Door Environment
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
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Additional Job Information
Percentage of Travel: 0-25%
Salary Range
USD $21.00 - $26.00 / Hour
Amerita is a leading specialty infusion company focused on providing a wide range of complex therapies and personalized clinical services for acute and chronic health conditions. Our many locations across the country allow us to provide specific and timely infusion care at a patient’s optimal site of care, whether in a patients’ home, Amerita Infusion Suite, or Mosaic Ambulatory Infusion Center (AIC).
Through our affiliation with Mosaic Infusion Services, we provide patients with private and comfortable infusion suites that are staffed by highly trained Board-Certified Nurse Practitioners and Registered Infusion Nurses. These suites provide a peaceful experience with extraordinary service, educational support, and care.
Founded
2006
Company size
1,001-5,000 employees
Industry
Pharmaceutical Manufacturing
Org type
Privately Held
Headquarters
Centennial, CO
Amerita is a leading specialty infusion company focused on providing a wide range of complex therapies and personalized clinical services for acute and chronic health conditions. Our many locations across the country allow us to provide specific and timely infusion care at a patient’s optimal site of care, whether in a patients’ home, Amerita Infusion Suite, or Mosaic Ambulatory Infusion Center (AIC).
Through our affiliation with Mosaic Infusion Services, we provide patients with private and comfortable infusion suites that are staffed by highly trained Board-Certified Nurse Practitioners and Registered Infusion Nurses. These suites provide a peaceful experience with extraordinary service, educational support, and care.
Founded
2006
Company size
1,001-5,000 employees
Industry
Pharmaceutical Manufacturing
Org type
Privately Held
Headquarters
Centennial, CO
