• Prior Authorization Specialist

    BrightSpring Health Services (Totowa, NJ)


    Our Company

     

    Amerita

     

    Overview

     

    This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.

     

    Schedule: Monday - Friday 8:30am - 5:00pm

     

    •Competitive Pay

    •Health, Dental, Vision & Life Insurance

    •Company-Paid Short & Long-Term Disability•Flexible Schedules & Paid Time Off•Tuition Reimbursement •Employee Discount Program & DailyPay•401k

    •Pet Insurance

    Responsibilities

    + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.

    + Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.

    + Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.

    + Knowledgeable to perform all PA functions.

    Qualifications

    + High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy

    + 1+ years pharmacy experience

    + Pharmacy or healthcare-related knowledge

    + Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication

    + Basic math and analytical skills

    + Intermediate typing/keyboard skills

     

    About our Line of Business

     

    Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visitwww.ameritaiv.com. Follow us onFacebook (https://www.facebook.com/ameritaiv) ,LinkedIn (https://www.linkedin.com/company/amerita-inc) , andX (https://x.com/ameritainfusion) .

     

    Additional Job Information

     

    Percentage of Travel: 0-25%

     

    Salary Range

     

    USD $21.00 - $23.00 / Hour

     

    ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at [email protected] .

     

    Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.

     

    Job LocationsUS-NJ-TOTOWA

    ID 2025-173890

    Line of Business Amerita

     

    Position Type Full-Time

     

    Pay Min USD $21.00/Hr.

     

    Pay Max USD $23.00/Hr.