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Remote Prior Authorization Specialist

Company: LaSalle Network
Location: Springfield
Posted on: November 22, 2021

Job Description:

Our client is a nationwide specialty pharmacy that is focused on providing care and compassion to all their patients. They are looking for Remote Prior Authorization Specialist who has excellent communication and experience working with prior authorizations throughout the whole process. This position is remote after training.
Remote Prior Authorization Specialist Responsibilities:
Contact plans (PBM or Major Medical) to validate requests
Contact physician's office to obtain and validate current prescriptions and clinical documentation that is required by the plans
Initiate prior authorizations through Cover My Meds and follow up on all pending PA's within 48 hours
Respond to urgent emails submitted by the Patient Care Coordinator Team or Program Manager in a timely manner
Submit all new Complex authorization approvals and/or Complex re-authorization approvals through the Complex audit process
Initiate re-authorizations that are set to expire 30 days prior to the term date
Remote Prior Authorization Specialist Requirements:
1-5 years of experience as a prior authorization representative, pharmacy technician, or benefit verification
Highschool diploma or equivalent
Able to multitask and work in a fast-paced environment

If this is something you are interested and qualified for, please apply to this Remote Prior Authorization Specialist role as soon as possible. Thank you and I look forward to speaking with you soon!
Thank you,
Karissa Blodgett
Healthcare Revenue Cycle

LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of professional staffing and recruiting services. LaSalle has worked with more than 10,000 companies, ranging from Fortune 500s to start ups. With units specializing in accounting and finance, administrative, marketing, executive search, technology, supply chain, healthcare revenue cycle, call center, and human resources, LaSalle serves companies of all sizes and across all industries.

Keywords: LaSalle Network, Springfield , Remote Prior Authorization Specialist, Other , Springfield, Illinois

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