Pharmacy Prior Authorization Specialist l Onsite - Pittsburgh
Core
Manage prior authorization requests for patients to ensure access to prescribed medications by coordinating with providers and insurance companies.
Role type
Pharmacy Prior Authorization Specialist
Builds
Patient access to critical medications via prior authorization workflows
Domain
Healthcare / Pharmacy Operations
Deliverable
client delivery
Required skills
Prior authorization processes, insurance verification, patient care coordination, appeals handling, cross-functional communication
Preferred skills
Pharmacy benefits knowledge, pharmacy claims experience, 1+ year in prior authorization or insurance verification
Responsibilities
Initiate new prior authorization requests, identify correct forms, coordinate with prescribers, follow up on request status, communicate status to patients and providers, handle appeals, respond to internal department questions
Seniority
Individual Contributor, entry to mid-level