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Prior Authorization Specialist Job at George's Family Pharmacy

George's Family Pharmacy Connersville, IN 47331

George’s Family Pharmacy, Inc. is a rapidly growing pharmacy and durable medical equipment company with an immediate opening for CSR/Prior authorization specialists in Connersville, IN. Hours of operation M-F 8am-6pm, Occasional Saturdays 9am-2pm.

We are looking for candidates with excellent customer service skills, effective communication and professionalism. Other requirements include: prior experience with insurance review, prior authorization, medical review, or working on an insurance team. Employees must be able to effectively communicate with insurance companies for insurance verification, claim follow up and resolution. Experience entering a patient’s demographics and billing information into the Brightree software is preferred. You will ensure that all claims have appropriate codes and that medical necessity has been met for the equipment that is being provided. In addition, you will work with private insurances to ensure medical necessity, attach any necessary documents to the claims in order to obtain payment in a timely fashion, post payments as received, ensure timely follow up for denied claims and create/maintain patient files.

We offer an excellent benefit package including medical and life insurance, retirement and personal time off. Voluntary benefits include vision, dental, disability, life, accident and critical illness. Salary will be based on experience and market value.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee discount
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Supplemental pay types:

  • Bonus pay

COVID-19 considerations:
Vaccines are not required and masks are optional.

Education:

  • High school or equivalent (Preferred)

Experience:

  • Customer Service: 2 years (Required)

Work Location: In person




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