Prior Authorization Specialist

Cary Endocrine & Diabetes Center
Cary, NC Full Time
POSTED ON 7/15/2023 CLOSED ON 12/18/2023

What are the responsibilities and job description for the Prior Authorization Specialist position at Cary Endocrine & Diabetes Center?

The Prior Authorization Specialist is responsible for determining the necessity of prescription drugs prior to insurance approval. The ideal candidate for this position is detail oriented, compassionate, and committed to the health of our customers. The Prior Authorization Specialist will assess each customer's situation carefully and make health decisions that are in their best interest, even if their decision goes against our financial interests.

Responsibilities:

  • Search relevant medical databases for providers and diseases to find relevant information for the company to use to determine whether a drug is covered.
  • Research new drugs and their uses for the company.
  • Work with health plan members to determine eligibility for pharmaceutical benefits.
  • Maintain existing relationships with customers and develop new ones by scheduling face-to-face meetings or conference calls.
  • Write up reports based on findings from research.
  • Work closely with a team of professionals.

Job Type: Full-time

Pay: $17.00 - $22.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Employee discount
  • Professional development assistance

Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Cary, NC 27518: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Insurance verification: 2 years (Preferred)
  • Medical billing: 1 year (Preferred)

Work Location: In person

Salary : $17 - $22

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