Insurance Authorization Specialist - Pharmacy Outpatient

Penn State Health

• Hershey Medical Center

Location: US:PA:Hershey

Work Type: PRN

FTE: 0.001

Shift: Varied

Hours: varied

Recruiter Contact: Rebecca L. Stuckey at [email protected]

SUMMARY OF POSITION:

Researches, obtains authorizations, insurance verifications, clinical documentation, prescription information and financial ability information needed to ensure when a prescriber writes a Specialty (high price, high risk and high touch) medication, so that the patient is able to initiate therapy in a timely and cost efficient manner.

MINIMUM QUALIFICATIONS:

• High School Diploma or equivalent required.

• Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required.

KNOWLEDGE, SKILLS, & ABILITIES:

• Ability to understand and analyze lab and clinical data within the patient's EMR.

• Ability to understand third party payer and insurance complexities.

• Ability to communicate professionally with all patients, peers, providers.

• Ability to train new hires.

• Ability to multitask due to the high volume of phone calls.

• Ability to know and understand complex therapies.

PREFERRED QUALIFICATIONS:

• Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers preferred.

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

For more information: https://this.pennstatehealth.org/#thisIsPennStateHealth

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).

• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.

• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.

• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.

• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

For a full list with more detailed information: https://www.pennstatehealth.org/careers/working-here/total-rewards

WHY PENN STATE HEALTH MILTON HERSHEY MEDICAL CENTER?

Penn State Hershey Medical Center is Central Pennsylvania's only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth.

YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence - that's Penn State Health. But what makes our healthcare award-winning? That's all you.

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:00 AM and 5:00 PM, Eastern Standard Time, Monday through Friday, email [email protected] or download our Accommodation Instructions for Job Applicants PDF for more detailed steps for assistance.

Union: Non Bargained

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