Pharmacy Prior Authorization (PA) Agent

Pharmacy Prior Authorization (PA) Agent

Overview:
Seeking a Pharmacy Prior Authorization Agent to manage prescription approval processes. The ideal candidate has experience working with insurance providers, pharmacies, and healthcare professionals to ensure timely access to medications for patients.

Key Responsibilities:

• Process prior authorization requests for prescription medications
  
  

• Communicate with prescribers, insurance companies, and pharmacies
  
  

• Verify insurance coverage and PA requirements
  
  

• Document case activity accurately in internal systems
  
  

• Follow up on outstanding authorizations and resolve delays
  
  

Requirements:

• Experience in pharmacy operations or medical authorizations
  
  

• Familiarity with insurance guidelines and medication PA processes
  
  

• Strong communication and data entry skills
  
  

• Ability to handle confidential patient information with care
  
  

• Knowledge of pharmacy management systems is a plus