BrightSpring Health Services
Prior Authorization Specialist / Remote
BrightSpring Health Services, Irving, Texas, United States, 75084
Employer Industry: Specialty Infusion Services
Why consider this job opportunity:
Salary up to $26.00 per hour
Comprehensive health benefits including dental, vision, and life insurance
Flexible schedules with paid time off and tuition reimbursement
Company-paid short and long-term disability insurance
Employee discount programs and DailyPay options available
Opportunity to work in a supportive environment with a focus on patient care
What to Expect (Job Responsibilities):
Initiate, process, and oversee the clinical review of prior authorization requests for medication and supplies
Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information
Submit prior authorization requests accurately and in a timely manner using electronic submission platforms
Perform all prior authorization functions as required
Ensure compliance with payer requirements and clinical guidelines
What is Required (Qualifications):
High School Diploma or GED, or licensed/registered pharmacy technician, or previous experience in pharmacy
Minimum of 1 year of pharmacy experience
Knowledge of pharmacy or healthcare-related terminology
Familiarity with pharmacy terminology including sig codes, Roman numerals, and brand/generic names of medication
Basic math and analytical skills, along with intermediate typing/keyboard skills
How to Stand Out (Preferred Qualifications):
Experience in a pharmacy or healthcare setting
Familiarity with prior authorization processes
Strong communication and collaboration skills
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
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Why consider this job opportunity:
Salary up to $26.00 per hour
Comprehensive health benefits including dental, vision, and life insurance
Flexible schedules with paid time off and tuition reimbursement
Company-paid short and long-term disability insurance
Employee discount programs and DailyPay options available
Opportunity to work in a supportive environment with a focus on patient care
What to Expect (Job Responsibilities):
Initiate, process, and oversee the clinical review of prior authorization requests for medication and supplies
Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information
Submit prior authorization requests accurately and in a timely manner using electronic submission platforms
Perform all prior authorization functions as required
Ensure compliance with payer requirements and clinical guidelines
What is Required (Qualifications):
High School Diploma or GED, or licensed/registered pharmacy technician, or previous experience in pharmacy
Minimum of 1 year of pharmacy experience
Knowledge of pharmacy or healthcare-related terminology
Familiarity with pharmacy terminology including sig codes, Roman numerals, and brand/generic names of medication
Basic math and analytical skills, along with intermediate typing/keyboard skills
How to Stand Out (Preferred Qualifications):
Experience in a pharmacy or healthcare setting
Familiarity with prior authorization processes
Strong communication and collaboration skills
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr