Job Description

Job Description

Job Description

Responsibilities:

• Assist in the initiation of new prior authorization requests to providers
• Identify the correct prior authorization form required for the patient’s insurance provider 
• Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
• Follow up with medical offices to check the status of prior authorization requests
• Assist with communicating the status of prior authorizations to both patients and providers
• Coordinate with medical offices to handle Appeals
• Respond to internal questions from other departments related to prior authorization requests

Requirements:

• High school diploma or GED required, Bachelor’s degree strongly preferred
• Customer service or inbound call center experience required
• Strong verbal and written communication skills
• Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
• A passion for providing top-notch patient care
• Ability to work with peers in a team effort and cross-functionally
• Must be flexible to work shifts ranging from 8am - 8pm. 
• Full time position, on-site in our Robinson location

Preferred Qualifications:

• 1+ year(s) working with prior authorizations or insurance verification in a pharmacy
• Knowledge of pharmacy benefits and pharmacy claims

Hours/Location:

• Shift : 40hours/week ( rotational shifts between 9am-8pm) 
  • Rotating schedules from 9 AM -5 PM EST and 10 AM -6 PM EST with 12 PM -8 PM EST shift around every two months
  • ***  All shifts require  one or two Saturdays in a month  shift  from 9 AM -5 PM EST
• Onsite  full time position in Pittsburgh (Robinson Township) 

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