Our Company Pharmacy Alternatives Overview Hybrid Join our Pharmacy Alternative team! PharMerica is aclosed-door pharmacywhere you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh growth mode, which meansadvancement opportunitiesfor individuals who are looking for career progression! CPhT preferred. Schedule: Monday-Friday from 8am - 5pm Central Time. This role is based out of Louisville, KY and after training, will become a hybrid schedule with time spent in the office as well as your home office. Applicants must live in or a commutable distnce to Louisville. We offer: DailyPay Flexible schedules Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today! Responsibilities + The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question Essential Job Responsibilities: + Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts + Follows up on all claims requiring prior authorization within four to five business days + Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis + Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on + Assists Billing Department with resolving unbilled claims at each month end close + Advocates for clients as needed + Support for Pharmacy Operations + Adjudicates and resolution of claim rejections as needed + Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis + Other responsibilities as assigned Qualifications + High School Diploma/General Education Diploma required + Kentucky Pharmacy Technician License preferred + Excellent customer service and communication skills, both written and verbal + Ability to prioritize and meet pre-determined deadlines + Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills + Experience in healthcare billing environment (pharmacy preferred) + Familiarization with on-line claims processing and Medicaid and Medicare billing practices + Proficient with Microsoft Word & Excel required About our Line of Business Pharmacy Alternatives®, a PharMerica company, is a specialized pharmacy provider focused on serving individuals with cognitive, intellectual and developmental disabilities (I/DD) helping people live their best life. Pharmacy Alternatives combined with PharMerica offer unmatched long-term pharmacy solutions specializing in serving special-needs populations who live in intermediate care facilities, waiver homes, group homes, assisted living, supported-living or foster care. PharMerica is one of the nation's largest pharmacy companies. The combined organization offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement and the highest hiring goals in decades. For more information about Pharmacy Alternatives, please visitwww.palrx.com. Follow us on Facebook (https://www.facebook.com/pharmacyalternatives/) and LinkedIn (https://www.linkedin.com/company/pharmacy-alternatives-llc/) . Salary Range USD $15.25 / 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 . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job LocationsUS-KY-LOUISVILLE ID 2024-148705 Line of Business Pharmacy Alternatives Position Type Full-Time Pay Min USD $15.25/Hr. Pay Max USD $15.25/Hr.