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Pharmacy Prior Authorization Specialist
- New York, New York, United States
- New York, New York, United States
About
Work in cohesion with the Adjudication, Claim Intervention and Billing Departments Submit prior authorizations in accordance with Insurance regulations Ensure accurate and timely processing of prior authorizations Work directly with insurance companies for prior authorization resolution Communicate with facilities to gain additional information Any other duties assigned Follow federal and state regulations Adhere to company policies and procedures Follow HIPPA guidelines and regulations
Qualifications and Requirements:
Prior Authorization experience (not required) Previous Long-Term Care pharmacy experience a plus (not required) Knowledge of Framework LTC a plus (not required)
Salary and Benefits:
Competitive salary commensurate with experience Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more
Languages
- English
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