Prior Authorization Specialist
Pharmacy Prior Authorization Specialist – CareMed Specialty PharmacyLouisville, KY | Full-Time | Starting at $23.00/hr and upCareMed Specialty Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.Company BenefitsMedical; Dental; Vision401k with a matchPaid Time Off and Paid HolidaysTuition ReimbursementQuarterly Incentive BonusPaid Volunteer DayReferral Incentive ProgramCompany Paid Life Insurance; and Short/Long-Term Disability Why Join Us?A career with purpose: Help patients access life-saving medications.Supportive culture: We value teamwork, respect, integrity, and passion.Growth opportunities: We invest in your professional and personal development.What You’ll DoThe Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.How You’ll Do ThisManage prior authorization requests and appeals with insurance carriers.Collaborate with physicians, pharmacists, and other departments.Ensure HIPAA compliance while handling sensitive patient information.Maintain accurate documentation of authorization details.Proactively monitor and renew expiring authorizations.Required What You BringHigh School Diploma or GED1+ years of pharmacy or prior authorization experienceRegistration with Board of Pharmacy (as required by state law)Strong communication, organizational, and customer service skillsSelf-motivated, organized, detail-oriented, and adaptable to changing prioritiesKnowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMedsPreferredAssociate degree or Certified Pharmacy Technician (PTCB)3+ years of experience in pharmacy or prior authorizationsSpecialty pharmacy experienceReady to make a meaningful impact? Apply today and help us better the lives of those battling cancer.Company Values: Teamwork, Respect, Integrity, Passion