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Specialist I Prior Authorization Remote
Specialist I Prior Authorization Remote-April 2024
Madison
Apr 26, 2025
About Specialist I Prior Authorization Remote

  JOB REQUIREMENTS: Lumicera Health Services Powered by Navitus InnovativeSpecialty Pharmacy Solutions- Lumicera Health Services is defining the\"new norm\" in specialty pharmacy to optimize patient well-beingthrough our core principles of transparency and stewardship. Here atLumicera, our team members work in an environment that celebratescreativity and fosters diversity. We are unable to offer remote work toresidents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, NewMexico, North Dakota, Rhode Island, South Carolina, South Dakota, WestVirginia, and Wyoming. Under direction from the Supervisor, SpecialtyPharmacy Services, and pharmacists in the Specialty Pharmacy, the PriorAuthorization Specialist I is primarily responsible for obtaininginformation and assisting providers and insurance companies in triagingprior authorizations for patients of the specialty pharmacy. The PriorAuthorization Specialist\'s main objective is to answer phone calls andcontact the doctors and patients via fax or phone or other communicationmeans to facilitate and document prior authorization approval. The PriorAuthorization Specialist may also be responsible for ensuring that allpertinent patient information is contained within the record. Patientinformation shall include demographics, allergies, medication history,comorbidities, and payer information. This position will function withand assist any other area in the facility as needed with regard to priorauthorization type duties. Is this you? Find out more below! How do Imake an impact on my team? Responsible for answering the inbound callsfrom patients, prescribers, and other healthcare professionals.Responsible for contacting doctors to obtain necessary information.Responsible for managing the assigned workflow queues. Responsible foraccurate and thorough documentation of information and prescriptionorder set up. The Employee will act in accordance with all applicablefederal and state laws and with the highest ethical standards that weconsistently strive to achieve. Thus, legal and ethical compliance is anessential duty of each employee. May be asked to perform other duties asrequested by Supervisor or pharmacist. What our team expects from you?High school diploma or GED. Some college preferred. CPhT PreferredPharmacy technician license or pharmacy technician trainee license isstrongly preferred in states requiring pharmacy technician licensure.Minimum two years pharmacy support experience or healthcare environmentexperience preferred. Participate in, adhere to, and support complianceprogram objectives The ability to consistently interact cooperativelyand respectfully with other employees What can you expect from Lumicera?Hours/Location: Monday - Friday 8:00am-5:00pm, CST-Remote PaidVolunteer... For full info follow application link. Navitus HealthSolutions is an Equal Opportunity Employer:Disabled/Veterans/Male/Female/Minority/Other ***** APPLICATIONINSTRUCTIONS: Apply Online: ipc.us/t/ADCCA4DE486F4BCE

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