Prior Authorization Specialist – Prior Authorization Specialist 

Job Description

Prior Authorization Specialist/Prior Authorization Specialist-LPN – 340B Retail Pharmacy

Springfield, MO

Full Time – Varied Shifts – Varied Hours

Nursing/Clinical Support

Req #: 20226170-63325

Remote Work Type: Permanent Remote

Prior Authorization Specialist

• Job Summary
  • The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs. The goal of the Prior Authorization Specialist is to work with other departments in order to complete prior authorizations through the various methods that are required by insurers.
• Job Requirements
  • Education
    • Required: High School diploma or equivalent
  • Experience
    • Required: At least one year experience as customer service, Medical Assistant, Pharmacy Technician, or LPN experience
  • Skills
    • Strong customer service skills when working with various staff members.
    • Have professional verbal and written communication skills.
    • Ability to work independently and be self-directed to complete prior authorizations in a timely manner.
    • Possess excellent time management skills.
    • Proficient using computers, including all Microsoft programs and promote the mission and values of CoxHealth
  • Licensure/Certification/Registration
    • Required: None

Prior Authorization Specialist – LPN

• Job Summary
  • The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs. The goal of the Prior Authorization Specialist is to work with other departments in order to complete prior authorizations through the various methods that are required by insurers.
• Job Requirements
  • Education
    • Required: Graduate of a licensed practical nursing program
  • Experience
    • Required: At least one year experience as a Medical Assistant, Pharmacy Technician, or LPN experience
  • Skills
    • Strong customer service skills when working with various staff members.
    • Have professional verbal and written communication skills.
    • Ability to work independently and be self-directed to complete prior authorizations in a timely manner.
    • Possess excellent time management skills.
    • Proficient using computers, including all Microsoft programs and promote the mission and values of CoxHealth
  • Licensure/Certification/Registration
    • Required: MO LPN License

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