PSC, Medication Prior Authorization, Pharmacy

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🔥 1 minute ago

⛰️ Colorado, Florida, +12 more states – Remote

⛰️ Colorado – Remote 🐊 Florida – Remote 🌪️ Kansas – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🦬 Wyoming – Remote

💵 $18 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Panorama

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2009

🤝 B2B

📚 Education

B2B • Professional Services • Education

Panorama is a global collective of leadership experts that focuses on fostering diversity, creativity, and shared expertise for the benefit of its clients. The firm specializes in executive search and leadership advisory services across various industries, including health and life sciences, higher education, industrial and energy sectors, private equity, professional services, and the public sector. With a partner-owned, boutique approach, Panorama collaborates with organizations to identify and cultivate resilient leadership that addresses both local and global challenges.

📋 Description

• Submit and manage prior authorization requests for medications only, as required by insurance carriers. • Review physician medication orders, supporting clinical notes, and documentation to ensure prior authorization requests are complete and accurate. • Track medication prior authorizations from submission through approval, denial, or request for additional information. • Follow up with payers to ensure timely determinations and minimize delays in medication access. • Coordinate prescription refills in collaboration with providers and pharmacies. • Serve as the primary point of contact for pharmacies regarding medication-related questions, clarifications, and insurance requirements. • Support enrollment and coordination of patient assistance programs for medications when applicable. • Communicate with patients regarding medication-specific authorization requirements, timelines, approvals, denials, and next steps. • Identify medication prior authorization denials and coordinate appeals when appropriate. • Manage assigned work queues, tasks, and follow-ups to meet defined turnaround times. • Maintain compliance with payer requirements, HIPAA, and organizational policies.

🎯 Requirements

• Prior experience in prior authorization, insurance verification, or healthcare administration. • Strong knowledge of insurance authorization processes and payer requirements. • Excellent organizational and time-management skills. • Strong written and verbal communication skills. • Ability to work independently in a remote environment and manage multiple priorities. • Preferred Experience working in a specialty practice or surgical setting. • Familiarity with EMR systems and authorization portals. • Experience with appeals and medical necessity documentation. • Prior experience in a remote or centralized PSC role.

🏖️ Benefits

• PTO Accruals Start at 3 Weeks • Comprehensive Medical and Dental Insurance • Company Paid Optical Allowance • Company Paid Routine Eye Care • Short Term and Long-Term Disability Insurances • Educational Allowance • Generous Paid Holiday Program • 401K With Company Match