Role OverviewJoin our PharMerica team as a Lead Pharmacy Prior Authorization Coordinator, where you will strive to complete prior authorization for pharmacy claims and coordinate with prescribers and facility contacts to change therapy due to insurance coverage issues. You will oversee new hire training and manage staff to set clear expectations for performance.
What You Will Do
Responsibilities include auditing prior authorization functions for compliance, prioritizing and delegating job tasks, and communicating with Implementation team, Account Management team, Directors of Pharmacy, and Facility staff. You will also participate in projects and management meetings, address workflow and business issues, and implement prior authorization forms and procedures.
Why It Might Be a Fit
The ideal candidate will have excellent customer service and communication skills, with the ability to prioritize and meet deadlines. They will be proficient in Microsoft Word and Excel, and have experience in healthcare billing, preferably in a pharmacy environment.
Requirements
- High School Diploma/GED required
- Pharmacy Tech License preferred
- Excellent customer service and communication skills
- Ability to prioritize and meet pre-determined deadlines
- Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
- Experience in healthcare billing environment (pharmacy preferred)
- Familiarization with online claims processing and Medicaid and Medicare billing practices
- Proficient with Microsoft Word & Excel required
Benefits
- DailyPay
- Flexible schedules
- Competitive pay
- Shift differential
- Health, dental, vision and life insurance benefits
- Company paid STD and LTD
- Tuition Assistance
- Employee Discount Program
- 401k
- Paid-time off
- Tuition reimbursement
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