Prior Authorization Specialist

Prior Authorization Specialist - Columbus, OH 43235

Our client is looking for a full-time Prior Authorization Specialist. This role will focus on benefits investigation and prior authorizations through the denials and appeals process. This position requires experience working the prior authorization process through CoverMyMeds.

Salary: $17-$20/hour + benefits

Location: first 90-days the role is in-office and after 90-days depending on performance, WFH is a possibility.

Shifts: M-F, 8:30a-5p EST, 10:30a-7p EST, and 12:30p-9p EST.

Duties: Verifies patient insurance coverage utilizing phone or online resources Submit prior authorizations to insurance plans in a timely manner via payer-specific portals and vendors Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources Ensures all pertinent medical documentation is accurate and present prior to authorization submission Follows up on pending authorizations on a regular basis to obtain the current status or to be informed of any action needed in order to obtain the authorization approval

Requirements

Requirements Prior experience working in prior authorizations for medication Prior experience with CoverMyMeds Working knowledge of ICD-10 codes and prescription drug names Benefits Investigation experience About the Company:

Our client is a health-tech company, pioneering a software therapy deployment platform for Specialty Pharmacies. Partnering with pharmaceutical manufacturers, the company offers digital patient access services to improve health outcomes for patients by delivering affordable and timely access to high-cost Specialty therapeutics.