Prior Authorizations Specialist
Job Description
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
Meet Your Recruiter
Sheden Medhanie
Sheden Medhanie is always striving to bring 100% to his work. His goal as an Executive Recruiter is to build strong, long-term, mutually beneficial relationships with candidates and clients alike across the medical field. With over seven years in the industry, he specializes in talent marketing and recruiting at a variety of levels. Sheden takes pride in ensuring that placements are a strong match for all parties involved. He is passionate about assisting his candidates in landing their next career, not simply their next job.
"My experience has allowed me to find and place top-tier talent in the medical field, drawing from a deep network of pharmacists, nurses, technicians, administrators, and more. My unique understanding of the challenges and opportunities available to both aspiring and experienced healthcare professionals is key to placing a candidate in the right setting.”
Sheden's expertise ranges from top hospitals, universities, and pharmaceutical companies, allowing him to find the best candidates possible to meet the needs of employers and match them with one another. Get in touch with him today to put his experience and expertise to work for you!