Pharmacy Authorization Coordinator

Full Time
Orange, CA 92868
Posted
Job description

Monday - Friday


8:30 am - 5:00 pm


Are you highly organized and passionate? Do you enjoy maximizing your experience and would like to be a part of fast-growing company where your opinions and ideas are being heard and you are able to make an impact? We are seeking someone who has the experience, vision, and passion to contribute to our culture and deliver extraordinary results. If this describes you, we’d love to have you join our expanding team at our Orange, CA location!


Why Join Us?

We're a rapidly growing company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.


At AmeriPharma, you'll have access to:

  • Great pay and general compensation structures
  • Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
  • Employee assistance program to assist with mental health, legal questions, financial counseling etc.
  • 401k program
  • Comprehensive PTO and sick leave options available
  • Plenty of opportunities for growth and advancement
  • Company sponsored outings and team-building events.
  • Company sports and recreation leagues to keep you active and get to know everyone better
  • Casual Fridays


Job Summary


An Authorization Coordinator is responsible for submitting prior authorization requests to Pharmacy Benefits Manager. Responsibilities also include claims adjudications and trouble-shooting rejected claims. Interacts with Pharmacy Benefit Managers, prescribers and patients as well as maintaining accurate records.


Qualifications

  • Ability to multi-task duties as well as the ability to understand multiple levels of prescription benefits
  • Knowledge of health care delivery system, Medicaid/Medicare and related state programs is required.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.


Education and Experience Requirements

  • At least 1-2 years’ Prior Authorization, Claims, Utilization Review, or Care Coordination experience in a Specialty Pharmacy environment.
  • Requires exceptional phone and customer service skills, as well as very strong computer user skills.
  • Requires basic to intermediary familiarity with Medical terminology (1-3 years direct experience).
  • Must have a minimum of 30-40 wpm typing with a high level of accuracy.


EEO


Physical Activities: The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations


The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time.


AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, protected veteran status, or on the basis of disability.


All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.


If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Human Resources at email hr@ameripharma.us for assistance.

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