What are the responsibilities and job description for the Medication Prior Authorization Specialist position at Raleigh Neurology Associates?
Job Description
The Medication Prior-Authorization Specialist verifies prescription insurance coverage and obtains medication prior authorizations for patients. The employee must be knowledgeable in prescription insurance billing and medical terminology to be successful.
Essential Job Duties
- Read patient charts and independently identify relevant information
- Obtain current prescription insurance information and submit forms to the correct processor
- Communicate effectively with RNA nurses and physicians
- Submit relevant prescription and medical info to insurance processor for prescription approval
- Submit accurate prior authorization requests and supporting documentation.
- Manage a high-volume workload while meeting accuracy and turnaround standards.
Requirements
- Current certification with the PTCB (National certification – CPhT)
- Current registration with the NC Board of Pharmacy
- Minimum 1 year experience with prescription insurance and billing
- Knowledge of medical terminology, ICD-10, and common drug classes
Other Skills/Abilities
- Exceptional time management, including the ability to multitask
- Strong critical thinking, communication, organization, and attention to detail
- Commitment to patient service, confidentiality, and HIPAA compliance
Job Type: Full-time
Expected hours: No less than 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $39,418 - $49,249