Oklahoma Staffing
Prior Authorization Specialist
Oklahoma Staffing, Oklahoma City, Oklahoma, United States, 73116
Prior Authorization Specialist
This 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: Monday - Friday8:30am - 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 Insurance 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 Business: Amerita, 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. Additional Job Information: Percentage of Travel: 0-25% Salary Range USD $21.00 - $23.00 / Hour ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com . Job Locations US-OK-OKLAHOMA CITY ID 2025-173884 Line of Business Amerita Position Type Full-Time Pay Min USD $21.00/Hr. Pay Max USD $23.00/Hr.
This 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: Monday - Friday8:30am - 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 Insurance 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 Business: Amerita, 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. Additional Job Information: Percentage of Travel: 0-25% Salary Range USD $21.00 - $23.00 / Hour ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com . Job Locations US-OK-OKLAHOMA CITY ID 2025-173884 Line of Business Amerita Position Type Full-Time Pay Min USD $21.00/Hr. Pay Max USD $23.00/Hr.