Prior Authorization Coordinator
Louisville, KYFull-time$7.25/hrSeen 1w agoSeen in employer's feed today
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Job overview
The Prior Authorization Coordinator supports PharMerica’s pharmacy claims workflow by completing prior authorization paperwork or coordinating with prescribers and facility contacts on preferred alternatives. The role follows up on claims, tracks and reviews them in QuickBase, assists with unbilled claims, and supports pharmacy operations. It is an on-site, full-time position in Louisville, Kentucky, scheduled Monday through Friday during the day.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Experience Required
None
Minimum Education Required
High School Diploma/G.E.D.
Compensation
$7.25 / hourly
Hours Per Week
40
Number Of Positions
1
Work Schedule and Shift Requirements
First (Day)
Job Description
Requisition: 2026-196589
Prior Authorization Coordinator
Job Locations
US-KY-LOUISVILLE
ID 2026-196589 Line of Business PharMerica Position Type Full-Time
Our Company
PharMerica
Overview
Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
Schedule: Mon-Fri(8:30am to 5pm)
This is not a remote opportunity. Applicants must reside in, or commutable distance, to Louisville, KY
We offer:
DailyPay
Flexible schedules
Competitive pay
Shift differential
Health, dental, vision and life insurance benefits
Company paid STD and LTD
Tuition Assistance
Employee Discount Program
401k
Paid-time off
Tuition reimbursement
Non-retail/Closed-door environment
Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!
*Position will be posted for a minimum of 7 business days
Responsibilities
The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question
Essential Job Responsibilities:
Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
Follows up on all claims requiring prior authorization within four to five business days
Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
Assists Billing Department with resolving unbilled claims at each month end close
Advocates for clients as needed
Support for Pharmacy Operations
Adjudicates and resolution of claim rejections as needed
Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
Other responsibilities as assigned
Qualifications
High School Diploma/General Education Diploma required
Kentucky Pharmacy Technician License preferred
Excellent customer service and communication skills, both written and verbal
Ability to prioritize and meet pre-determined deadlines
Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
Experience in healthcare billing environment (pharmacy preferred)
Familiarization with on-line claims processing and Medicaid and Medicare billing practices
Proficient with Microsoft Word & Excel required
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
Job Type
Full time
Benefits Offered
Not specified
Veteran Preference
No
Place of Work
On-site
Requisition ID
2026-196589
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