Returning Candidate? Log back in! Specialist I, Prior Authorization Location US- ID 2024-3930 Category Customer Service/Support Position Type Full-Time Remote Yes Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. Pay Range USD $18.67 - USD $21.96 /Hr. Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am-7pm, CST Overview

Due to growth, we are adding Prior Authorization Specialist to our team!  

 

Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist’s main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties.

 

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team? 

Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionalsResponsible for contacting doctors to obtain necessary informationResponsible for managing the assigned workflow queuesResponsible for accurate and thorough documentation of information and prescription order set upThe Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employeeOther duties as assigned Qualifications

What our team expects from you?

High school diploma or GEDSome college preferredCPhT PreferredPharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensureMinimum two years pharmacy support experience or healthcare environment experience preferredAbility to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on FridayParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus? 

Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending Account

 

#LI-Remote

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

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