Prior Authorization Specialist / RemoteBrightSpring Health Services • Englewood, Colorado, United States
Prior Authorization Specialist / Remote
BrightSpring Health Services
- Englewood, Colorado, United States
- Englewood, Colorado, United States
À propos
US-CO-ENGLEWOODID
2026-190910Line of Business
AmeritaPosition Type
Full-TimePay Min
USD $22.00/Hr.Pay Max
USD $26.00/Hr.Our CompanyAmerita OverviewThis 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 (EST) 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 BusinessAmerita, 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 InformationPercentage of Travel: 0-25% Salary RangeUSD $22.00 - $26.00 / Hour
Compétences linguistiques
- English
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