Pharmacy Prior Authorization Specialist

1 Day ago • 1 Years +

Job Summary

Job Description

The Pharmacy Prior Authorization Specialist will join the team to enhance customer service for patients and partners. This role involves initiating new prior authorization requests, identifying required forms, coordinating with prescribers, following up on requests, communicating statuses, and handling appeals. The specialist will also respond to internal inquiries related to prior authorization. The company focuses on making medications more affordable for Americans.
Must have:
  • 1+ year(s) of prior authorization or insurance verification experience in a pharmacy.
  • Knowledge of pharmacy benefits and claims.
  • Strong verbal and written communication skills.
  • Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus.
  • Passion for providing top-notch patient care.
  • Ability to work with peers in a team effort and cross-functionally.
Perks:
  • Health Benefits, 401 K
  • Holiday pay
  • Overtime eligible
  • Casual dress code
  • Free Snacks

Job Details

Company Overview:

Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody.  Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. 

BlinkRx is the world’s first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low prices, free home delivery, and world-class support on this first-of-its-kind centralized platform. With BlinkRx, never again will a patient show up at the pharmacy only to discover that they can’t afford their medication, their doctor needs to fill out a form for them, or the pharmacy doesn’t have the medication in stock. 

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us!

We are looking for you to join our Prior Authorization team to raise the bar on our customer service we provide to our patients and partners. This is your opportunity to join a health-tech enterprise focused on making medications more affordable for all Americans. 

Location: Onsite, 400 South Woods Mills Rd, Suite 100, Chesterfield MO

Work hours: Full-time, 40 hrs/week, M-F 8am-4pm OR 9am-5pn with one full week of 11am-7pm about every 2 months. No weekends.

Responsibilities:

  • Assist in the initiation of new prior authorization requests to providers
  • Identify the correct prior authorization form required for the patient’s insurance provider 
  • Coordinate with prescribers and medical offices to ensure applicable information is translated onto prior authorization forms
  • Follow up with medical offices to check the status of prior authorization requests
  • Assist with communicating the status of prior authorizations to both patients and providers
  • Coordinate with medical offices to handle Appeals
  • Respond to internal questions from other departments related to prior authorization requests

Requirements:

  • High school diploma or GED required, Bachelor’s degree strongly preferred 
  • 1+ year(s) working with prior authorizations or insurance verification in a pharmacy
  • Knowledge of pharmacy benefits and pharmacy claims
  • Strong verbal and written communication skills
  • Sound technical skills, analytical ability, attention to detail, good judgment, and strong operational focus
  • A passion for providing top-notch patient care
  • Ability to work with peers in a team effort and cross-functionally

Perks:

  • Health Benefits, 401 K
  • Holiday pay
  • Overtime eligible
  • Casual dress code
  • Free Snacks

Why Join Us:

It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population.  At Blink, we have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances. We are also the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year.  Our business model not only helps people, but drives economics that allow us to build a generational company. We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers.

We are an equal opportunity employer and value diversity of all kinds. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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About The Company

Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and improved health outcomes for patients. BlinkRx is the world’s first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications.

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