BR
BrightSpring Health ServicesVerified Direct Sponsor
Remote (United States)·remote·full time
Live Vacancy·Posted 5d ago

Prior Authorization Specialist

Competitive / Disclosed in Interview
US H-1B / O-1 / Specialty
HIGH CONFIDENCE Sponsorship
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Salary Package
Competitive / Disclosed in Interview

Standard baseline compensation

Visa Route
US H-1B / O-1 / Specialty

Verified employer route

Workplace Policy
remote · US

Multi-location

Application Type
Direct Employer

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66/100 Fit Score
Employer identity verified against authorized records
Direct employer ATS application confirmed active
Active verified vacancy

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Job Description & Specifications

Official role breakdown, eligibility standards, and core responsibilities

Prior Authorization Specialist at BrightSpring Health Services

Location Guidelines: United States · Workplace: 🌐 Remote

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 the prior authorization process.

• 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

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 visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Additional Job Information

Percentage of Travel:0-25%

Salary Range

USD $22.00 - $30.00 / Hour

Originally posted on Himalayas

How to Apply: Click "Apply for this Job" to be redirected directly to BrightSpring Health Services's official application form.

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Job Overview

LocationRemote (United States)
Workplaceremote
CompensationCompetitive / Disclosed in Interview
Posted5 days ago
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