Prior Authorization Specialist

We are seeking a highly organized and detail-oriented Prior Authorization Coordinator to join our dynamic pharmacy team. This individual will play a key role in ensuring timely and accurate submission, follow-up, and approval of prior authorizations and appeals for medical and prescription services.

Requirements

• Minimum of 2 years of experience in prior authorization, preferably in infusion services, specialty pharmacy, or a medical office
• Strong understanding of Medicare, Medicaid, and Managed Care reimbursement and prior authorization requirements
• Familiarity with medical terminology, insurance processes, and prescription medications
• Demonstrated ability to work in a fast-paced, high-volume environment and manage multiple priorities
• Strong analytical, critical thinking, and problem-solving skills
• Excellent verbal and written communication skills
• Intermediate-level proficiency in Microsoft Excel, Word, and experience with electronic health systems or pharmacy software
• High level of attention to detail and accuracy in documentation
• Ability to work independently and as part of a collaborative team

Benefits

• Full benefits package including medical, dental, vision, life
• Great pay and general compensation structures
• Employee assistance program
• Comprehensive PTO and sick leave options
• 401k program
• Plenty of opportunities for growth and advancement
• Company sponsored outings and team-building events
• Casual Fridays