SR LIVING PRIOR AUTHORIZATION SPECIALIST

SR LIVING PRIOR AUTHORIZATION SPECIALISTJob LocationsUS-KY-LOUISVILLEOverviewJoin our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!Monday-Friday, 8:30 am to 5 pm. This is not a remote opportunity. After training, the schedule will become a hybrid where you work from the office and your home office. Applicants must reside in or within a commutable distance to Louisville, KY.We offer:DailyPayFlexible schedulesCompetitive payShift differentialHealth, dental, vision, and life insurance benefitsCompany-paid STD and LTDTuition AssistanceEmployee Discount Program401kPaid-time offTuition reimbursementNon-retail/Closed-door environmentOur 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!*Position will be posted for a minimum of 7 business daysResponsibilitiesThe 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 questionEssential Job Responsibilities:Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contactsFollows up on all claims requiring prior authorization within four to five business daysTracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on a weekly basisCompares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up onAssists Billing Department with resolving unbilled claims at each month-end closeAdvocates for clients as neededSupport for Pharmacy OperationsAdjudicates and resolution of claim rejections as neededUtilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on a daily basisOther responsibilities as assignedQualificationsHigh School Diploma/General Education Diploma requiredKentucky Pharmacy Technician License preferredExcellent customer service and communication skills, both written and verbalAbility to prioritize and meet pre-determined deadlinesMust be able to effectively multi-task, be proficient at typing, and have advanced technical skillsExperience in a healthcare billing environment (pharmacy preferred)Familiarization with online claims processing and Medicaid and Medicare billing practicesProficient with Microsoft Word & Excel requiredAbout our Line of BusinessPharMerica is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations, and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies. PharMerica offers unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement, and the highest hiring goals in decades. For more information about PharMerica, please visit

www.pharmerica.com . Follow us on Facebook, Twitter, and LinkedIn.Salary RangeUSD $15.25 / Hour

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