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Prior Authorization Specialist [Pharmacy LOB]

Full-time

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Key Responsibilities:

· Working within Epic and Surescripts ePA to process prior authorizations.

· Working in Epic and CoverMyMeds as needed to process prior authorizations. (Experience in EPIC is only preferred)

· Communicating denials to clinic staff within Epic Telephone Encounter.

· Maintaining quality standards and turnaround times.

· Follow up on e-PA’s due to denials or missing information.

· Calls to payor as required (or) use payor portals as required.

Required Education and Experience

· 2-3 years retail pharmacy

· Retail Pharmacy electronic prior auth experience

Vacancy posted 19 hours ago
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