What are the responsibilities and job description for the Pharmacy Insurance Authorization Specialist - 25 Hope Dr Pharmacy position at Penn State Health?
Penn State Health - Hershey Medical Center
Location: US:PA: Hershey
Work Type: Full Time
FTE: 1.00
Shift: Varied
Hours: 8 hour shifts
Recruiter Contact: Melissa Leota at mleota@pennstatehealth.psu.edu
SUMMARY OF POSITION:
*This is an onsite position with the possibility of hybrid*
The Pharmacy Insurance Authorization Specialist must demonstrate clinical expertise in handling complex therapies, excellent communication skills, and a commitment to providing patient-centered care. The position plays a vital role in managing high-risk, high-cost medications, ensuring that patients receive timely access to therapies while maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement queues and assists patients, physicians and pharmacists in the completion of: claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Penn State Health Pharmacy patients.
MINIMUM QUALIFICATION(S):
Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.
Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:
Penn State Hershey Medical Center is Central Pennsylvania’s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth.
YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you.
This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.
Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.
Union: Non Bargained
Location: US:PA: Hershey
Work Type: Full Time
FTE: 1.00
Shift: Varied
Hours: 8 hour shifts
Recruiter Contact: Melissa Leota at mleota@pennstatehealth.psu.edu
SUMMARY OF POSITION:
*This is an onsite position with the possibility of hybrid*
The Pharmacy Insurance Authorization Specialist must demonstrate clinical expertise in handling complex therapies, excellent communication skills, and a commitment to providing patient-centered care. The position plays a vital role in managing high-risk, high-cost medications, ensuring that patients receive timely access to therapies while maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement queues and assists patients, physicians and pharmacists in the completion of: claim adjudication/review, benefit investigations, financial assistance applications, refill/adherence activities, and other programs that drive optimal outcomes for Penn State Health Pharmacy patients.
MINIMUM QUALIFICATION(S):
- High School Diploma or equivalent required.
- Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required.
- Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers preferred.
Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.
Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:
- Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
- Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
- Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
- Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
- Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.
Penn State Hershey Medical Center is Central Pennsylvania’s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth.
YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you.
This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.
Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.
Union: Non Bargained