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Prior Authorization Specialist

Department: Pharmacy Staff
Location: Tampa, FL

We are looking for a Prior Authorization specialist to join our team!

Job Duties Include:

  • Reviewing assigned Prior Authorization cases
  • Obtain clinical information (Medical History, diagnosis and any relevant laboratory reports) necessary to complete the prior-authorization.
  • Review the medical records, diagnosis and laboratory reports.
  • Review Prior Authorization Criteria for medications for Prior Authorization process.
  • Work with insurance plan to pre-certify/authorize the medication
  • Assists with any denied claims to resolve any issues by providing clinical information.
  • Assists with Medication Change Process by providing insurance approved alternatives for prescribed medication.
  • Any other task assigned by Manager.

Qualifications:

  • Licensed Pharmacy Technician
  • Ability to prioritize and multitask
  • Excellent written and verbal communication skills
  • Strong attention to detail
  • ?Strong organizational skills

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