ACARA Jobs

 

Prior Authorization Assistant

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  • ID: 543984
  • Posted: 9/27/2024
  • Location: Williamsville, NY
  • Category: Admin - Administrative
  • Job Type: Temporary
  • Duration: 3 - 6 Months

Description

Acara Solutions is looking for a Prior Authorization Assistant for our client in Williamsville, NY!
  • Type: 6-month contract
  • Schedule: Monday-Friday either 8-4, 9-5, 10-6 with a ½ lunch. Once training is over, you are required to work at least 1 shift per week until 6PM. 
  • Pay: $20/hr
  • Hybrid flexibility

The Prior Authorization Assistant handles triaging, logging, and follow-up of prior authorization, appeal, and grievance requests to ensure timely resolution and regulatory compliance. They also provide administrative support such as faxing, copying, filing, and preparing documents for scanning. 

Key Duties:

  • Assist Clinical Pharmacist by verifying member/provider eligibility and filing requests 
  • Log prior authorization requests into systems, ensuring accuracy 
  • Update documentation systems with decisions 
  • Fax and prepare requests for scanning and mailing.
  • Help maintain drug policies and update the policy tracker.
 
Job Requirements

 
Required Skills / Qualifications:
  • High School diploma or GED required; Associates degree preferred. 
  • One (1) year of experience in pharmacy and/or health insurance operations preferred. 
  • General knowledge of drug names, therapeutic categories, dosage forms, manufacturers and packaging preferred. 
  • Familiarity with HMO concept, PC skills and pharmacy on-line system preferred. 
  • Proven written and verbal communication skills. 
  • Excellent organizational and time management skills. 
  • Excellent ability to absorb new concepts and adapt to a changing environment. 
  • Exhibit creativity and self-motivation, with ability to effectively solve problems as they arise.
  • Demonstration of math aptitude for purposes of calculating simple drug requirements when given doses and prices calculations.

Aleron companies (Acara Solutions, Aleron Shared Resources, Broadleaf Results, Lume Strategies, TalentRise, Viaduct) are Equal Employment Opportunity and Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity, sexual orientation, national origin, genetic information, sex, age, disability, veteran status, or any other legally protected basis. The Aleron companies welcome and encourage applications from diverse candidates, including people with disabilities. Accommodations are available upon request for applicants taking part in all aspects of the selection process.

Applicants for this position must be legally authorized to work in the United States. This position does not meet the employment requirements for individuals with F-1 OPT STEM work authorization status.
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