About the role

Our Company
Amerita
Overview
This role 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 the prior authorization process.
Schedule:Monday - Friday 8 am-5:30 pm MST
We Offer:
• Competitive Pay
• Health, Dental, Vision & Life Insurance
• Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off• Tuition Reimbursement • Employee Discount Program & DailyPay• 401k
• Pet Insurance
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, an affiliate of BrightSpring Health Services, 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, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. Additional Job Information
Percentage of Travel: 0-25%
Salary Range
USD $22.00 - $30.00 / HourOriginally posted on Himalayas

Interview prep

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Mid

Technology & IT Writing Prior Authorization Specialist Technology Mid level

Likely questions

Tell us about work you have done that is close to the Prior Authorization Specialist role.
How would you approach your first 30 days at BrightSpring Health Services?
Which of Writing, Prior and Authorization have you used recently, and what did it help you achieve?
Describe a time you solved a problem without waiting to be told exactly what to do.
How do you handle busy days, changing priorities, or pressure at work?

Prepare before the call

A recent example that proves your experience with Writing, Prior and Authorization.
One short story with a problem, your action, and the result.
Two examples that show the strengths listed on your CV.
A clear reason why this role and company interest you.
Your availability, preferred work style, and salary expectations.

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What would success look like in the first 90 days?
What are the main problems this hire should help solve?
How does the team give feedback and measure good work?
What does a normal working week look like for this role?

Practice line

I am interested in the Prior Authorization Specialist role because I can bring practical experience in Writing, Prior and Authorization, learn the team quickly, and contribute to the outcomes BrightSpring Health Services needs from this hire.

Prior Authorization Specialist

About the role

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Likely questions

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