Pharmacy Prior Authorization Senior Representative - Freedom Fertility - Remote AZ or IL or MA
Core
Senior representative managing pharmacy prior authorizations, claims adjudication, and benefit inquiries for fertility clinics.
Role type
Senior IC pharmacy prior authorization specialist
Builds
Pharmacy benefit solutions for fertility patients
Domain
Healthcare / Pharmacy / Fertility
Required skills
Pharmacy technician certification, state pharmacy technician license (AZ/IL/MA), prior authorization submission tools (CoverMyMs), clinical EMR systems, prescription calculations, data entry, insurance benefit checks
Preferred skills
Infertility domain experience, prior authorization appeals experience
Technologies
CoverMyMeds, EMR systems, Microsoft Office
Responsibilities
Enter prescriptions and adjudicate claims, submit prior authorizations and handle appeals, investigate benefit inquiries, assist patients and providers with pharmacy benefits, participate in customer meetings and training
Seniority
Senior, hands-on IC