Pharmacy Support Specialist
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At a glance
Job overview
Internal Data Resources, Inc. is hiring a Pharmacy Support Specialist. IDR is seeking a Pharmacy Support Specialist for a remote opportunity, focusing on prior authorizations within pharmacy operations. This role involves collaborating with healthcare providers, insurance companies, and pharmacies to ensure timely medication approvals. The position emphasizes clinical documentation and effective communication in an engaging healthcare industry environment.
Key focus areas include Manage prior authorization requests, ensuring accuracy and timeliness in a remote setting, Act as a liaison between pharmacies, healthcare providers, and insurance companies, and Review denied or pending authorization requests and gather necessary clinical documentation.
Important skills include Prior Authorization, Pharmacy Benefits, PBM Settings, Medications Knowledge, Pharmacy Terminology, and Insurance Denials.
Skills & qualifications
Skills
Benefits
Full job description
Compensation
$
Hours Per Week
40
Number Of Positions
1
Job Description
IDR is seeking a Pharmacy Support Specialist to join one of our top clients for a remote opportunity. This role involves supporting pharmacy operations with a focus on prior authorizations, working closely with healthcare providers, insurance companies, and pharmacies to ensure timely medication approvals. The position offers an engaging environment within the healthcare industry, emphasizing clinical documentation and communication.
Position Overview for the Pharmacy Support Specialist:
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Manage prior authorization requests, ensuring accuracy and timeliness in a remote setting.
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Act as a liaison between pharmacies, healthcare providers, and insurance companies.
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Review denied or pending authorization requests and gather necessary clinical documentation.
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Complete and submit prior authorization paperwork through various pharmacy systems.
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Communicate effectively with all stakeholders to resolve issues and secure approvals.
Requirements for the Pharmacy Support Specialist:
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Prior Authorization experience, especially in pharmacy benefits or PBM settings.
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Strong knowledge of medications and pharmacy terminology.
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Experience working with insurance denials and appeals.
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Excellent documentation and organizational skills with high attention to detail.
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Comfortable making outbound calls to insurance companies and healthcare providers all day.
What's in it for you?
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Competitive compensation package
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Full Benefits; Medical, Vision, Dental, and more!
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Opportunity to get in with an industry leading organization.
Why IDR?
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25+ Years of Proven Industry Experience in 4 major markets
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Employee Stock Ownership Program
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Dedicated Engagement Manager who is committed to you and your success
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Medical, Dental, Vision, and Life Insurance
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ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row
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#LI-Remote
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. IDR is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite employees to voluntarily self-identify their race or ethnicity, gender, and veteran status (if applicable). Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement.
Job Type
Full time
Industry
Healthcare
Place of Work
On-site
Requisition ID
502482
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