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Prior Authorizations Specialist

Farmers Branch, TX 75234

Posted: 09/01/2023 Employment Type: Direct Hire Job Number: 18386 Pay Rate: 43,000

Job Description

Prior Authorizations Specialist
Our growing client in Farmers Branch, TX has a need for two Prior Authorizations Specialist on a direct hire basis

Company Profile:
Growth Opportunities
Team Atmosphere

Prior Authorizations Specialist Role:
The Prior Authorizations Specialist facilitates the prior authorization process for prescription medications and is responsible for ensuring that patients receive timely approvals for medications that require pre-approval from insurance providers or other relevant entities. 
Interact with patients, acting as a liaison and educator to provide guidance and support regarding the prior authorization process and medication adherence. 
Manage clinic chats to address any queries or concerns related to prior authorizations.  
Collaborate with the healthcare team for seamless communication.
Determine which prescriptions need prior authorization, collect and verify patient information and medical history. 
Partner with healthcare providers and insurance companies to submit accurate requests. 
Ensure completed forms and documentation are attached.
Act as a patient liaison to assist patients with the prior authorization process including educating patients on its importance and potential outcomes to address patient concerns and provide medication options. 
Communicate with healthcare providers as needed.
Follow up on action items and maintain detailed records of prior authorization activities. 
Comply with pharmacy industry regulations and data protection protocols.
Stay up to date with insurance policies and industry developments to provide feedback on workflow to 
Quality Assurance and Process Improvement: Participate in quality assurance initiatives. 
Provide feedback to optimize the prior authorization workflow. Stay updated on insurance policies and industry developments.
Set, and meet KPIs including patient turnaround time, other metrics.
Other assigned duties.

Prior Authorizations Specialist Background Profile:
Certification as a Pharmacy Technician (CPhT) preferred but not required
Knowledge of pharmaceuticals, medical terminology, and the prior authorization process.
Excellent communication and interpersonal skills to effectively liaise with patients, healthcare providers, and insurance companies.
Strong organizational abilities to manage prior authorization requests and clinic chats efficiently.
Proficiency in using relevant software and systems for prior authorization submissions and documentation.
Attention to detail and accuracy in completing prior authorization forms and related paperwork.
Ability to work independently and collaboratively in a fast-paced healthcare environment.
Commitment to patient care and ensuring medication access through the prior authorization process.

Features and Benefits:
Medical- Multiple plans to choose from
Dental and Vision
Generous PTO

Frontline Source Group is an Equal Opportunity Employer.  Candidates must be authorized to work in the United States without sponsorship.  The client cannot sponsor any visas. 

Disclaimer: Sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage you to call one of our branch locations to verify the status on any job.
 

Job Requirements

prior authorizations, certified pharmacy technicians
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About Farmers Branch, TX

Ready to explore exciting job opportunities in the vibrant city of Farmers Branch, Texas? Nestled in the heart of the Dallas-Fort Worth metroplex, this dynamic area boasts a thriving economy, exceptional quality of life, and a welcoming community. With easy access to major highways, top-notch dining options like the local favorite Amigos Restaurant, the renowned Farmers Branch Historical Park, and cultural hotspots such as the Outlaw Blues and Jazz Club, there's no shortage of reasons to consider a career in this charming city. Discover your next career move in Farmers Branch and experience the perfect blend of work and play!