Medication Prior Authorization Analyst -- Pharmacy Administration -- General Hospital

Job Summary

Oversees the process of medication prior authorizations and obtains information necessary to complete the prior authorization process. Collects and submits authorization requests and all required documentation to the appropriate insurance company. Identifies medication financial assistance as appropriate.

Responsibilities

Daily review of prescriptions to determine if prior authorization is necessary

Develop a rapport with insurance providers and other third party payers to ensure good working relationships

Utilize insurance portals and other systems to verify active insurance coverage

Correspond with insurance companies to facilitate pertinent data for prior authorization requirements

Monitor status of authorizations

Respond appropriately to any denials

Perform clerical duties as necessary, including composing letters or phone calls to patients, insurance companies, and referring providers

Identify financial assistance available for patients to assist with medication coverage

Work with clinics on availability of provided service

Knowledge, Skills & Abilities

Education

• High School Diploma or GED (Required) Experience: 2 years healthcare experience or similar work experience. Preferred: 1 year experience with prior authorizations

Credentials

Work Schedule: Varies

Status: Full Time Regular 1.0

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Lisa C. Skidmore lisa.skidmore@vandaliahealth.org