Prior Authorization Specialist / RemoteSanta Barbara Cottage Hospital • New York, New York, United States
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Prior Authorization Specialist / Remote
Santa Barbara Cottage Hospital
- New York, New York, United States
- New York, New York, United States
About
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
Additional Job Information Percentage of Travel:
0-25%
Salary Range USD $22.00 - $26.00 / Hour
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Languages
- English
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