Authorization Specialist - 252872
Medix™, Pittsburgh, PA, United States
We are seeking an energetic, detail-oriented Prior Authorization Specialist to join our team and play a key role in helping patients access life-changing specialty medications. If you're passionate about patient care and experienced in the specialty pharmacy ecosystem, we want to hear from you!
This role is 100% onsite and focused on supporting healthcare providers through the prior authorization (PA) process - from benefit verification to successful submission and follow-up.
Job Opening:
Prior Authorization Specialist
Location:
Onsite - Strip District, Pittsburgh, PA
Pay:
$22/hour
Schedule:
Monday - Friday, 40 hours/week
Start Date Requirement:
January 26th, 2026
Shift Flexibility:
Between 8:00 AM and 6:00 PM (standard 8-hour shift within this window)
Key Responsibilities:
Communicate with prescriber offices to facilitate all steps of the PA process (via phone, chat, and email)
Use various technology platforms to gather, submit, and track prior authorization cases
Conduct benefit verification and navigate insurance requirements for both pharmacy and medical benefits
Assemble complete case files using clinical documentation like chart notes, lab results, and medication histories
Troubleshoot and follow up with payers until a final determination is reached
Collaborate with internal teams to ensure process efficiency and patient-first outcomes
Required Background & Experience:
Minimum 2 years of specialty pharmacy experience with a focus on prior authorization and benefit verification
Strong understanding of drug names, medical terminology, and insurance workflows
Excellent verbal and written communication and customer service skills
Comfortable using evolving technologies and general computer proficiency
Preferred Skills & Competencies:
Highly organized and detail-oriented
Strong time management and prioritization abilities
Critical thinking and independent problem-solving skills
Able to work independently while contributing positively to a collaborative team environment
What You'll Be Doing (Day-to-Day):
Think of this role as being the engine of the authorization process. You’ll be the go-to expert who quarterbacks each case from start to finish:
Investigate: Start each case with a detailed benefit verification to identify insurance requirements
Communicate & Gather: Reach out to providers to collect necessary documentation
Assemble & Submit: Compile “clean” cases and submit through payer portals
Follow-Up & Troubleshoot: Proactively track submissions and resolve issues until final determination
Why Join Us?
Help real patients get the treatments they need
Be part of a mission-driven, solutions-focused team
Work in a vibrant part of Pittsburgh’s Strip District
Stable full-time hours with a competitive hourly wage
Ready to Apply?
If you're experienced, motivated, and ready to make a difference in patient care, we'd love to hear from you. Apply today!
This role is 100% onsite and focused on supporting healthcare providers through the prior authorization (PA) process - from benefit verification to successful submission and follow-up.
Job Opening:
Prior Authorization Specialist
Location:
Onsite - Strip District, Pittsburgh, PA
Pay:
$22/hour
Schedule:
Monday - Friday, 40 hours/week
Start Date Requirement:
January 26th, 2026
Shift Flexibility:
Between 8:00 AM and 6:00 PM (standard 8-hour shift within this window)
Key Responsibilities:
Communicate with prescriber offices to facilitate all steps of the PA process (via phone, chat, and email)
Use various technology platforms to gather, submit, and track prior authorization cases
Conduct benefit verification and navigate insurance requirements for both pharmacy and medical benefits
Assemble complete case files using clinical documentation like chart notes, lab results, and medication histories
Troubleshoot and follow up with payers until a final determination is reached
Collaborate with internal teams to ensure process efficiency and patient-first outcomes
Required Background & Experience:
Minimum 2 years of specialty pharmacy experience with a focus on prior authorization and benefit verification
Strong understanding of drug names, medical terminology, and insurance workflows
Excellent verbal and written communication and customer service skills
Comfortable using evolving technologies and general computer proficiency
Preferred Skills & Competencies:
Highly organized and detail-oriented
Strong time management and prioritization abilities
Critical thinking and independent problem-solving skills
Able to work independently while contributing positively to a collaborative team environment
What You'll Be Doing (Day-to-Day):
Think of this role as being the engine of the authorization process. You’ll be the go-to expert who quarterbacks each case from start to finish:
Investigate: Start each case with a detailed benefit verification to identify insurance requirements
Communicate & Gather: Reach out to providers to collect necessary documentation
Assemble & Submit: Compile “clean” cases and submit through payer portals
Follow-Up & Troubleshoot: Proactively track submissions and resolve issues until final determination
Why Join Us?
Help real patients get the treatments they need
Be part of a mission-driven, solutions-focused team
Work in a vibrant part of Pittsburgh’s Strip District
Stable full-time hours with a competitive hourly wage
Ready to Apply?
If you're experienced, motivated, and ready to make a difference in patient care, we'd love to hear from you. Apply today!