Company Lumicera
About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity.
Pay Range USD $16.13 - USD $18.97 /Yr.
Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8hr shift between 8am-7pm
Remote Work Notification Hidden (38926)
Overview Lumicera Health Services is seeking a Prior Authorization Specialist to join the team!
Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties.
Is this you? Find out more below!
Responsibilities How do I make an impact on my team? - Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals
- Responsible for contacting doctors to obtain necessary information
- Responsible for managing the assigned workflow queues
- Responsible for accurate and thorough documentation of information and prescription order set up
- The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee
- Other duties as assigned
Qualifications What our team expects from you? - High school diploma or GED
- Some college preferred
- CPhT Preferred
- Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure
- Minimum two years pharmacy support experience or healthcare environment experience preferred
- Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees
#LI-Remote
Location : Address Remote
Location : Country US