Res-Care, Inc. Englewood , CO 80110
Posted 2 weeks ago
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. The Prior Authorization Specialist 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.
Mon
This position has the potential to be hybrid (work from home), once you are trained and meeting performance goals and expectations.
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 Pharmacy
1+ years pharmacy experience
Pharmacy or healthcare-related knowledge
Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
Basic math and analytical skills
Intermediate 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 Twitter and LinkedIn.
Additional Job Information
Percentage of Travel: 0-25%
Salary Range
USD $18.50 - $28.00 / Hour
Res-Care, Inc.