Prior Authorization Specialist
BrightSpring Health Services
Our Company
Amerita
Overview
Come join our closed-door specialty infusion pharmacy! Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. 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.
Mon - Fri 8:30A - 5:30P Central Time - in Oklahoma City location
• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance• 401(k) Retirement Plan with Employer Match• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability• Employee Discounts• Tuition Reimbursement• Paid Time Off & Holidays
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.
+ Knowledgeable to perform all PA functions.
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
About our Line of Business
Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .
Additional Job Information
Percentage of Travel: 0-25%
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-OK-OKLAHOMA CITY
ID 2024-157684
Line of Business Amerita
Position Type Full-Time
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