Prescription Prior Authorization Specialist

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    "url": "https://recruiting.paylocity.com/recruiting/jobs/Details/4211705/Ideal-Option-PLLC/Prescription-Prior-Authorization-Specialist",
    "job_type": "Full-time",
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    "html_title": "Ideal Option PLLC - Prescription Prior Authorization Specialist",
    "description_html": "<p><strong>Location:</strong> Remote</p><p><strong>Compensation:</strong> $18.50</p><p><strong>Schedule: Friday-Monday</strong> Monday - Friday, 8:00am-5:00pm PST, 40 hours a week</p><p><br></p><p><strong>Ideal Option </strong>has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for a<strong> Prescription Prior Authorization Specialist</strong> to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that are suffering from the devastating effects of substance use disorder.</p><p><br></p><p>We value our patients and our employees! We treat our employees like we would want to be treated ourselves: with respect and compassion. Below are some specifics on what Ideal Option offers and the role.</p><p><br></p><p><strong>Benefits:</strong></p><p>At Ideal Option, we offer our employees a competitive and comprehensive benefits program to recognize how important you are to the company. Current benefits include:</p><p>• Medical, vision, and dental</p><p>• Short-term and long-term disability options</p><p>• Life insurance</p><p>• Employee Assistance and Life Assistance programs</p><p>• A 401K retirement program</p><p>• Pet Insurance</p><p>• Paid time off and paid holidays</p><p><br></p><p><strong>The Role:</strong></p><p>As a <strong>Prescription Prior Authorization Specialist,</strong> you play a key role in ensuring our patients prescriptions will be covered by their insurance. We submit prior authorizations as needed to enable patients to pick up the correct prescription in a timely and cost-effective manner. Additional responsibilities include:</p><p>• Utilizes and comprehends eClinicalWorks. Such as: telephone encounters, chart notes, and provider directives.</p><p>• Ensures payment of prescriptions by verifying insurance coverage and prescription formularies.</p><p>• Submits prior authorizations to insurance companies via phone, fax and electronic systems. Answers incoming calls and addresses patients concerns and/or questions regarding their authorization process. Maintains accurate documentation of authorizations.</p><p>• Works directly with insurance companies, pharmacies, and providers. Monitors and tracks established patient prescription authorizations.</p><p>• Ensures payments of prescriptions by verifying insurance coverage and prescription formularies.</p><p>• Processes incoming calls and addresses patient concerns and/or questions regarding their authorization status.</p><p>• Works directly with insurance companies and pharmacies on resolving authorization issues.</p><p>• Maintains accurate documentation of prior approvals.</p><p>• Works closely with providers, Ideal Option staff and pharmacies to ensure the best patient care.</p><p>• Represents Ideal Option professionally and with a positive attitude.</p><p>• Complies with national PHI laws including HIPAA and 42 CFR Part 2.</p><p>• Maintains continual sustained attendance</p><p>• Other duties as assigned by supervisor.</p><p><br></p><p><strong>Our ideal candidate:</strong></p><p>Has effective verbal and written communication skills, is proficient in excel, has the ability to multitask, learn quickly and work in a fast paced environment. Has a knowledge of chemical dependency and its effects on individuals, families, and communities is required.</p>",
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    "requirements_html": "<p><strong>Minimum Requirements:</strong></p><p>•High School Diploma or GED.</p><p>•Experience with personal computers (word processing and/or electronic spreadsheets)</p><p>•Preferably one year or more of experience in office work.</p><p><br></p>",
    "requirements_text": "Minimum Requirements:\n •High School Diploma or GED.\n •Experience with personal computers (word processing and/or electronic spreadsheets)\n •Preferably one year or more of experience in office work."
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