Prior Authorization Specialist [Pharmacy LOB]

Key Responsibilities:

·        Working within Epic and Surescripts ePA to process prior authorizations.

·        Working in Epic and CoverMyMeds as needed to process prior authorizations. (Experience in EPIC is only preferred)

·        Communicating denials to clinic staff within Epic Telephone Encounter.

·        Maintaining quality standards and turnaround times.

·        Follow up on e-PA’s due to denials or missing information.

·        Calls to payor as required (or) use payor portals as required.

Required Education and Experience

·        2-3 years retail pharmacy

·        Retail Pharmacy electronic prior auth experience