Senior Pharmacy Prior Authorization Representative

Job Description:

• Support a designated group of clinics and manage prior authorizations using internal and external pharmacy and clinic systems
• Enter prescriptions, adjudicate claims, resolve rejections, and process orders accurately
• Use clinic-specific EMR systems to gather information needed for prior authorizations
• Handle benefit checks, prior authorization submissions, follow-ups, and appeals
• Research and respond to benefit and processing questions from internal sales, patients, and providers
• Maintain compliance with contract requirements and company practices
• Manage multiple tasks while maintaining strong attention to detail and communication
• Participate in customer meetings, training sessions, and other program-related projects

Requirements:

• High school diploma or GED required
• 2+ years of Pharmacy Technician experience
• National Pharmacy Technician certification required
• Active pharmacy technician license in AZ
• Strong Microsoft Office, data entry, math, and communication skills
• High attention to detail with the ability to multitask across phone and computer-based work
• Experience with CoverMyMeds or similar electronic prior authorization tools preferred
• Experience with appeals, denials, EMR systems, or infertility care is a plus
• Strong teamwork, ownership, and time management skills

Benefits:

• medical
• vision
• dental
• well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays

Apply To This Job