What are the responsibilities and job description for the Prior Authorization Specialist / Remote position at BrightSpring Health Services?
Prior Authorization Specialist / Remote
Job Locations
US-NJ-TOTOWA
| ID | 2025-173890 | Line of Business | Amerita | Position Type | Full-Time | Pay Min | USD $21.00/Hr. | Pay Max | USD $23.00/Hr. |
Amerita
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 prior authorization process.
Schedule:
Monday - Friday
8:30am - 5:00pm
* 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
- 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.
Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
- 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
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.
Percentage of Travel: 0-25% |
USD $21.00 - $23.00 / Hour
Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
Salary : $21 - $23
