Prior Auth Support Specialist (Non-Clinical)
New
P
PrescriberPointHealthtech
100% Remote. Must be performed in the States., Eastern Standard Timezone (non-negotiable)Full-TimeMiddle
Salary70,000 - 85,000 USD per year
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Job Details
- Experience
- 5+ years
- Required Skills
- HubSpotHIPAA
Requirements
- 5+ years of hands-on prior authorization experience — beyond general call center or data entry work
- Direct experience in either a hospital/clinic central authorization function OR pharmacy technician role with dedicated PA and insurance specialization
- Demonstrated understanding of both medical and pharmacy benefit PA workflows at the documentation and execution level
- Experience navigating PBM requirements including coverage criteria, benefit verification, and authorization documentation standards
- Proven ability to communicate with provider offices via phone and email — navigating gatekeepers, call trees, and office workflows to move documentation forward
- Strong documentation discipline: accurate, timely case tracking with notes, outcomes, timestamps, and next steps
- HIPAA compliance knowledge and scope discipline
- Eastern Time Zone (non-negotiable)
- High school diploma or GED required
- PTCB/CPhT strongly preferred
Responsibilities
- Execute PA and referral workflows end-to-end: documentation follow-up, routing, and loop closure with provider offices
- Drive work forward by identifying next steps, obtaining missing information, and preventing case stalls
- Communicate clearly and professionally with provider office staff via phone and email
- Support clinical teams by reducing administrative burden — gather missing documentation, route questions appropriately
- Maintain accurate, timely documentation in HubSpot and operational tracking tools
- Identify recurring friction points and contribute actionable feedback to strengthen SOPs
- Operate strictly within scope — workflow, documentation, process, and follow-up only
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