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Prior Authorization Specialist
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- Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Polk County.
- The Prior Authorization Specialist collaborates with patients, internal staff, other medical center representatives, and third-party payers to facilitate the smooth exchange of information related to obtaining timely prior authorizations for pharmaceutical and imaging patient needs.
- Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for pharmacy needs.
- Reviews notifications of patient prescription rejections via covermymeds.com, faxed document scanned directly to the desktop, or patient notification
- Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for imaging needs.
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