Prior Authorization Specialist

Busy Hematology Oncology office needs full time authorizations specialist

JOB DESCRIPTION

Our office is committed to providing compassionate, efficient, and effective medical care to our patients in a friendly and pleasant setting. We are looking for a friendly, caring, knowledgeable, detailed-oriented, dependable, and flexible individual who has the ability to adapt to a face-paced, ever-changing environment. Bi-lingual spanish speaking is a plus.

Responsibilities:

• Knowledgeable in Pharmacy processing information
  
• Prior experience with QS1 Pharmacy software is preferred
  
• Collect Medication Co-Pays and post cop-pay to patient�s account
  
• Maintain Pharmacy compliancy logs
  
• Communicate to patients Co-Pay responsibilities and be knowledgeable in explaining pharmacy benefits to patients
  
• Must be able to learn new medications, including indications and correlating treatment regimens
  
• Prior experience in completing Medication Prior Authorizations via phone or electronic platform (CoverMyMeds)
  
• Highly motivated team player with a positive attitude and the ability to self-direct and prioritize.
  
• Must have a team-oriented mentality and be able to communicate effectively in this fast-paced Pharmacy environment.
  
• The applicant should be very organized with attention to detail and have great interpersonal skills, high integrity, be dependable and a good listener and an empathetic communicator.
  
• Directly communicate with insurance companies to facilitate the approval of medications and check status of pending authorizations
  
• Keep complete and accurate records of patient communications
  
• We are looking for someone with strong phone skills
  
• Maintain confidentiality of Protected Health Information
  
• Effectively cope with typical job stress in a professional, calm manner
  
• Maintain professional appearance and personal conduct at all time
  
• Answer multiple line telephone system in prompt and courteous manner- taking messages
  
• Schedule appointments
  
• Verify patient demographic and insurance information
  
• Effectively cope with typical job stress in a professional, calm manner
  
• Maintain professional appearance and personal conduct at all time
  
• Perform other duties as assigned
  

SALARY commensurate with education and experience

COMPREHENSIVE benefits package

JOB REQUIREMENTS

• Experience in completing prior authorization forms required
  
• At least two years of pharmacy experience preferred
  
• Must have a high school diploma or GED.
  

EDUCATION:

High school degree or GED required.

EXPERIENCE:

Prior pharmacy authorization experience preferred. Ability to do authorizations, knowledge of health insurance plans and referrals

Computer/EMR knowledge is a plus

REQUIRED PERSONAL QUALITIES:

Friendly, Personable and Dependable

Strong organizational and interpersonal skills

Ability to prioritize responsibilities

Caring attitude towards patients and coworkers

Detail oriented

Adherence to all policies and procedures, including safety, attendance, punctuality and personal appearance

Good verbal and written communication skills

Able to multi-task

Strong work ethic

Team player

Self-motivated

Flexible

Job Type: Full-time

Job Type: Full-time

Pay: From $23.00 per hour

Benefits:

• 401(k)
  
• Dental insurance
  
• Flexible spending account
  
• Health insurance
  
• Life insurance
  
• Paid time off
  
• Professional development assistance
  
• Retirement plan
  
• Vision insurance
  

Work Location: In person