Prior Authorization Specialist Job at Oxford Solutions, Inc, Pittsburgh, PA

  • Oxford Solutions, Inc
  • Pittsburgh, PA

Job Description

Job Description

Job Description

Contract-to-Hire | Full-Time | Onsite in Pittsburgh, PA 
Rotating Shifts: Days & Evenings (EST)

Pay Rate: 18-20+/hr (depending on experience level)

Oxford Solutions is seeking a Prior Authorization Specialist to join a growing pharmacy support team in Pittsburgh. In this role, you will help patients gain timely access to needed medications by processing prior authorizations and insurance verifications quickly and accurately. You will collaborate with medical offices, prescribers, and patients while ensuring a high level of customer service.

Responsibilities

  • Initiate new prior authorization requests with providers
  • Identify and complete correct insurance and provider forms
  • Coordinate with prescribers to submit requests
  • Follow up with medical offices to track status of authorizations
  • Communicate updates clearly to patients and providers
  • Support appeal processes when necessary
  • Provide assistance to internal teams regarding prior authorizations

Qualifications

  • High school diploma or GED required (Bachelor’s degree a plus)
  • Minimum 1 year of prior authorization experience
  • Knowledge of pharmacy benefits and claims processes preferred
  • Strong communication and customer service skills
  • Detail-oriented with solid problem-solving abilities
  • Proficient with computer systems and data entry
  • Ability to work rotating day/evening shifts

Job Details

  • 6-Month Contract-to-Hire
  • Full-Time, Onsite in Pittsburgh, PA 


Prior Authorization Specialist - 26-00699
#ZR

Job Tags

Full time, Contract work, Rotating shift, Day shift, Afternoon shift

Similar Jobs

Applebee's

Host/Hostess Job at Applebee's

 ...Scholarship, a $5,000 annual award that can support a lifetime of learning. What You'll Do (Responsibilities): As the Host/Hostess, you will be responsible for greeting (both arriving and departing) and seating all guests in a friendly manner, assisting in... 

TMG Property Management Services NW

Concrete Finisher Job at TMG Property Management Services NW

 ...OverviewFoundations & Flatwork Workers NeededLocation: Kennewick, WAPay Range: $25-30/hrWe are currently hiring experienced concrete professionals to support foundation and flatwork projects in the Kennewick area.What Were Looking For35 years of prior concrete... 

Marvin Group

ELECTRICAL ASSEMBLER I (2nd Shift) Job at Marvin Group

 ...diverse array of programs and platforms, including major military prime contractors such as Lockheed Martin, Northrop Grumman, and Raytheon. SCOPE Be part of a team that is engaged in assembly and testing of electrical components for example harnesses, power... 

Yancey Bros. Co.

Industrial Electrician Job at Yancey Bros. Co.

 ...Description Job Description Who We Are: From Georgia. For Georgia. Since 1914 Yancey Bros. Co. has proudly served as the authorized Caterpillar equipment dealer for Georgia, providing our customers with the highest quality sales, parts and service. From Caterpillar heavy... 

Express Employment Professionals Defunct

Wire Cutter Job at Express Employment Professionals Defunct

 ...Pay: $19.50/HR Duties: Locate and select the correct wire and materials for each customer order Operate wire cutting machinery to measure, cut, and prepare electrical wire to specifications Use cordless hand tools and nail guns to secure wire...