Prior Authorization Specialist - Pharmacy Tech Job at Insight Global, Pittsburgh, PA

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  • Insight Global
  • Pittsburgh, PA

Job Description

Job Description

Job Description

Responsibilities:

  • Assist in the initiation of new prior authorization requests to providers
  • Identify the correct prior authorization form required for the patient’s insurance provider 
  • Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
  • Follow up with medical offices to check the status of prior authorization requests
  • Assist with communicating the status of prior authorizations to both patients and providers
  • Coordinate with medical offices to handle Appeals
  • Respond to internal questions from other departments related to prior authorization requests

Requirements:

  • High school diploma or GED required, Bachelor’s degree strongly preferred
  • Customer service or inbound call center experience required
  • Strong verbal and written communication skills
  • Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
  • A passion for providing top-notch patient care
  • Ability to work with peers in a team effort and cross-functionally
  • Must be flexible to work shifts ranging from 8am - 8pm. 
  • Full time position, on-site in our Robinson location

Preferred Qualifications:

  • 1+ year(s) working with prior authorizations or insurance verification in a pharmacy
  • Knowledge of pharmacy benefits and pharmacy claims

Hours/Location:

  • Shift : 40hours/week ( rotational shifts between 9am-8pm) 
    • Rotating schedules from 9 AM -5 PM EST and 10 AM -6 PM EST with 12 PM -8 PM EST shift around every two months
    • ***  All shifts require  one or two Saturdays in a month  shift  from 9 AM -5 PM EST
  • Onsite  full time position in Pittsburgh (Robinson Township) 

Job Tags

Full time, Flexible hours, Shift work, Saturday, All shifts,

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