Contract-to-Hire | Full-Time | Onsite in Pittsburgh, PA Rotating Shifts: Days & Evenings (EST)
Pay Rate: 18-20+/hr (depending on experience level)
Oxford Solutions is seeking a Pharmacy Prior Authorization Specialist to join a growing pharmacy support team in Pittsburgh. In this role, you will help patients gain timely access to needed medications by processing prior authorizations and insurance verifications quickly and accurately. You will collaborate with medical offices, prescribers, and patients while ensuring a high level of customer service.
Responsibilities
Initiate new prior authorization requests with providers
Identify and complete correct insurance and provider forms
Coordinate with prescribers to submit requests
Follow up with medical offices to track status of authorizations
Communicate updates clearly to patients and providers
Support appeal processes when necessary
Provide assistance to internal teams regarding prior authorizations
Qualifications
High school diploma or GED required (Bachelor’s degree a plus)
Minimum 1 year of prior authorization experience in a pharmacy setting (required)
Knowledge of pharmacy benefits and claims processes
Strong communication and customer service skills
Detail-oriented with solid problem-solving abilities