BrightSpring Health Services
PRIOR AUTHORIZATION SPECIALIST
BrightSpring Health Services, Oklahoma City, Oklahoma, United States, 73116
PRIOR AUTHORIZATION SPECIALIST
Job Locations
US-OK-OKLAHOMA CITY
ID
2024-145712
Line of Business
Amerita
Position Type
Full-Time
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.Work Schedule: Mon- Fri 9:00am - 5:30pm* 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 Pharmacy1+ years pharmacy experiencePharmacy or healthcare-related knowledgeKnowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medicationBasic math and analytical skillsIntermediate 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 visit www.ameritaiv.com. Follow us on TwitterandLinkedIn.
Additional Job Information
Percentage of Travel:
0-25%
Job Locations
US-OK-OKLAHOMA CITY
ID
2024-145712
Line of Business
Amerita
Position Type
Full-Time
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.Work Schedule: Mon- Fri 9:00am - 5:30pm* 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 Pharmacy1+ years pharmacy experiencePharmacy or healthcare-related knowledgeKnowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medicationBasic math and analytical skillsIntermediate 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 visit www.ameritaiv.com. Follow us on TwitterandLinkedIn.
Additional Job Information
Percentage of Travel:
0-25%