Prior Authorization Representative Job at ProCare Rx, Hollywood, FL

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  • ProCare Rx
  • Hollywood, FL

Job Description

Job Details

Locations: Onsite - Gainesville, GA

OR

Miramar, FL

Schedule: Full-Time, Monday – Friday

Pay Rate: $19.00/Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:

  • Manage incoming and outgoing calls, documenting all calls in the dedicated application for call documentation.
  • Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior Authorization (PA) department.
  • Analyze clinical PAs using the provided clinical protocols, and provide regarding PA requests based on provided documentation.
  • Clarify any questions or concerns received from clients and/or internal departments.
  • Assists with inquiries related to pre-authorizations referred by the account managers or other departments.
  • Use online databases to document recommendations, clinical decisions, and responses.
  • Deliver high-quality customer service in a fast-paced, dedicated PA program.
  • Provide support on training new employees.
  • Participate in training, conferences, orientations, and other activities related to your business unit.
  • Must have a flexible work schedule to meet changing department needs.

Qualifications And Requirements

  • Pharmacy technician certification (CPhT) required, registered preferred.
  • Prefer 2 years experience working as a pharm tech or as a physician office assistant handling phone calls and reviewing charts.
  • 1 year experience contacting other healthcare providers as part of daily job preference.
  • Excellent communication skills working in a professional environment.
  • Strong organizational skills working under time constraints in a constantly changing environment.
  • PC experience to navigate new applications, with intermediate Excel and Word skills preferred.

Physical Demands

  • This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position required strong multitasking skills, attentions to detail, and the ability to lift and/o move up to 20 lbs.

The Perks Of Joining Our Team

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge: Paid vacation and holiday pay.
  • Focus on Your Wellness: We offer a robust Employee Wellness Program.
  • Invest in Your Future: 401(k) with a company match.
  • Support System: Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People: Employee referral program.

Ready to start your rewarding journey with us? Apply today!

Please note while this job description is a comprehensive overview, additional responsibilities may be part of the role.

ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our recruitment team at ***email_hidden***.

ProCare Rx is an Equal Opportunity Employer.

Job Tags

Full time, Temporary work, Work at office, Monday to Friday, Flexible hours

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