Prior Authorization Specialist (Remote)

The Prior Authorization Specialist manages and resolves rejected pharmacy claims to maximize payer reimbursement and ensure timely billing, eliminating financial risks for the company and its customers. This role involves researching and analyzing claims, collaborating with Medicare, Medicaid, and third-party insurers, and completing prior authorization forms efficiently. The specialist must maintain accurate records, communicate effectively with providers and customers, and adhere to HIPAA and company compliance standards.