Pharmacy Prior Authorization Specialist (Healthtech)

TL;DR

Pharmacy Prior Authorization Specialist (Healthtech): Coordinating prior authorization requests between healthcare providers and insurance companies to ensure patient access to affordable medications with an accent on communication and operational efficiency. Focus on managing authorization forms, handling appeals, and providing high-quality patient care support.

Location: 100% On-site in Pittsburgh, PA (Robinson Township)

Company

A fast-growing healthcare technology company building products to make prescriptions more accessible and affordable for everyone.

What you will do

• Initiate new prior authorization requests to providers
• Identify and complete the correct authorization forms required by insurance providers
• Coordinate with prescribers and medical offices to ensure accurate information is transferred
• Follow up with medical offices to monitor the status of authorization requests
• Communicate the status of prior authorizations to both patients and providers
• Manage the appeals process in coordination with medical offices

Requirements

• High school diploma or GED (Bachelor's degree strongly preferred)
• Experience in customer service or inbound call centers
• Must be based in or able to work 100% on-site in Pittsburgh, PA (Robinson Township)
• Flexibility to work shifts ranging from 8am to 8pm
• Strong verbal and written communication skills, analytical ability, and attention to detail

Nice to have

• 1+ year of experience with prior authorizations or insurance verification in a pharmacy setting
• Knowledge of pharmacy benefits and pharmacy claims

Culture & Benefits

• Comprehensive health benefits and 401K
• Holiday pay and overtime eligibility
• Casual dress code
• Free snacks and shuttle service provided