Maxor National Pharmacy Services, LLC
Amarillo, TX, USA
Overview Prior Authorization Specialist The Prior Authorization (PA) Specialist is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of medication. The PA Specialist provides detailed and timely communication to both payers and clinical partners to facilitate compliance with payer contractual requirements and is responsible for documenting the appropriate information in the patient's record. Responsibilities ESSENTIAL FUNCTIONS (These duties must be performed with or without reasonable accommodation. This document in no way states or implies that these are the only duties to be performed by the employee occupying this position): 1. Engage directly with practice management and staff to understand process and workflow and adapt pharmacy process for maximum support, capture, and production. 2. Verify insurance eligibility and benefit levels to...