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Overview

**Job Summary:** Responsible for all aspects of drafting and completing prior authorizations, entering of medication orders and customer service for patients, and working as liaison with pharmacy team and provider offices.

Responsibilities

+ Educate prospective pharmacy patients on how the specialty pharmacy serves patients and improves their overall care

+ Resolve insurance related issues, complete benefit investigations, including prior authorizations (PAs) as an agent of the provider

+ Review the patients need for financial assistance and secure financial assistance when needed and available

+ Document patient information within the hospital EMR, QS1, Therigy and all proprietary tools as required

+ Secure prescription renewals

+ Communicate directly with patients to assist them in the awareness of their medications

+ Identify medications requiring special storage and/or handling such as hazardous medications and/or refrigerated medication

+ Answer, resolve and triage inbound inquiries

+ Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards

+ Actively participate in process improvement initiatives.

+ Responsible for monitoring adjudication queue(s) and facilitate prior authorization process for customers

+ Responsible for ensuring a high level of successful prior authorizations

+ Responsible for Appeals Requests and External Appeals Requests when necessary.

+ Act as liaison with Clinical and Pharmacy Team in communicating with provider offices on questions regarding appropriateness of therapy, labs or other questions/concerns and provide support for prior authorization, financial assistance, and prescription fill and renewal

+ Responsible for accurate selecting billing and shipping methods for incoming patient orders

+ Document patient reported information into TherigySTM

+ Responsible for accurate data entry of incoming prescriptions, if required

+ Provides resolution to customer service issues to ensure member satisfaction

+ Customer service coverage for incoming calls, and making outbound calls to set up customer deliveries

+ Responsible for completing all mandatory and regulatory training programs

+ Perform other duties as assigned

Qualifications

Educational Requirements:

+ Minimum: High School Diploma or GED

+ Preferred: Pharmacy technician or related certification

Experience:

+ Experience with Prescription Prior Authorizations required

+ 6-12 months experience as a pharmacy technician preferred

Job Skill Requirements:

+ Broad knowledge of medications, physician orders, and pharmacy systems

+ Familiar with Enterprise billing options and practices surrounding claim submission

+ Strong communication skills

+ Outstanding customer service skills

+ Excellent organization skills

+ Ability to multitask and prioritize

+ Excellent computer and keyboarding skills

Compensation:

$18.02-27.03 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.

Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14985/specialty-pharmacy-liaison/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866)

**Job Locations** _US-NY-Oneonta_

**Posted Date** _1 week ago_ _(11/19/2025 12:55 PM)_

**_Requisition ID_** _2025-14985_

**_\# of Openings_** _1_

**_Category_** _Healthcare_

**_Location : Location_** _US-NY-Oneonta_