Prior Authorization Specialist / Remote

AmeritaThis 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:(Remote)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 InsuranceInitiate, 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.High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy1+ years pharmacy experiencePharmacy or healthcare-related knowledgeKnowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medicationBasic math and analytical skillsIntermediate typing/keyboard skillsAmerita, 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. Percentage of Travel: 0-25%USD $26.00 - $34.00 / Year

Created: 2025-10-06