Job Summary
The role of the assistant involves managing the prior authorization workflow for expensive medications, which encompasses benefit validation, application submission, and addressing denial issues. Additionally, the assistant is responsible for training team members on appropriate documentation procedures and stepping in for medication refill assistants when required.
Responsibilities
- Oversee the prior authorization process for high-cost medications.
- Conduct benefit verification and handle the submission of prior authorization requests.
- Resolve issues relating to denied prior authorization requests.
- Educate and train staff on effective documentation practices.
- Provide coverage for medication refill assistant duties as necessary.
Qualifications
- High school diploma or equivalent required.
- Minimum of one year of experience in a medical office, pharmacy, or insurance verification setting.
- Current pharmacy technician certification or registration is mandatory if applicable to assigned duties.
STEMHUNTER provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
