Prior Authorization Specialist, Dr. Christian Rhea, Rheumatology, Downtown Nashville

Job description

Job DetailsJob Location: 222 Main Office (MO) - Nashville, TN 37203Position Type: Full Time (32-40 Weekly Hours)Education Level: High SchoolTravel Percentage: NoneJob Shift: DayJob Category: Health CareJob Summary The Prior Authorization Specialist - Medication is responsible for managing the process of obtaining prior authorizations for medications prescribed by healthcare providers within the department. This role involves collaborating with pharmacies, insurance companies, and medical staff to ensure timely approval and access to necessary medications for patients. The specialist will handle all aspects of the prior authorization process, including submission, tracking, and appeals, while ensuring compliance with insurance guidelines and departmental protocols. Responsibilities (include, but are not limited to) Receive and review medication orders and obtain necessary prior authorizations from insurance companies to ensure that prescribed medications are covered. Act as the primary point of contact between pharmacies, insurance companies, and the healthcare provider’s office to facilitate the approval process. Accurately document and track all prior authorization requests, inclu...