Amerita, Inc
Prior Authorization Specialist / Remote
Amerita, Inc, Kensington Village Mobile Home Park, New York, United States
Overview
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. About Our Company
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. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. Schedule
Remote • Monday - Friday • 8:30am - 5:00pm Benefits
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. Perform all PA functions as needed. 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 Job Information
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Pharmaceutical Manufacturing
#J-18808-Ljbffr
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. About Our Company
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. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. Schedule
Remote • Monday - Friday • 8:30am - 5:00pm Benefits
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. Perform all PA functions as needed. 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 Job Information
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Pharmaceutical Manufacturing
#J-18808-Ljbffr