Prior Authorization Specialist Job at LaSalle Network, Naperville, IL

MFg3VUR4TmRXdVdFd0lRVUlrZ2pCc2JnTVE9PQ==
  • LaSalle Network
  • Naperville, IL

Job Description

We are seeking a dedicated Certified Pharmacy Technician (CPhT) with managed care experience to join our client’s team as a Prior Authorization Specialist . In this role, you will be responsible for managing prescription prior authorization requests, ensuring accurate data entry and assisting with clinical and customer service support. This is a full-time, remote position starting within 10 days of offer acceptance.

Prior Authorization Specialist Responsibilities:
  • Receive, review and provide accurate data entry of prescription prior authorization requests
  • Conduct outreach calls to obtain necessary clinical criteria forms and progress notes
  • Assist with the onboarding of new employer groups and new membership
  • Communicate drug formulary guidelines, prior authorization criteria and plan benefit design to participants, providers and pharmacies
  • Resolve escalated participant issues and claims-related issues
  • Utilize basic Microsoft Excel functions and track metrics
  • Support ongoing clinical programs and assist members with obtaining assistance programs
  • Provide customer service support, including handling member complaints and escalations
Prior Authorization Specialist Requirements:
  • 2+ years of experience as a pharmacy technician
  • Certified Pharmacy Technician (CPhT) License required
  • Prior authorization experience within a pharmacy benefit manager (PBM) setting required
  • Experience with resolving rejected claims and third-party claims adjudication systems
  • Intermediate Microsoft Excel skills preferred
  • Patient, provider, and pharmacy customer service experience preferred
  • Preferred fluency in Spanish
  • Strong communication, analytical and organizational skills
  • Detail-oriented with a focus on providing excellent customer service
  • Ability to interact effectively with patients, providers and coworkers


If you're a qualified Certified Pharmacy Technician with experience in prior authorizations and customer service, and you're excited about this remote opportunity, we encourage you to apply today! We look forward to hearing from you.

Thank you,

Kyla Slayton
Project Manager
LaSalle Network

Job Tags

Remote job, Full time, Contract work, Temporary work,

Similar Jobs

MRINetwork Jobs

Sr. Citrix Systems Engineer (F/T role in Nashville area) Job at MRINetwork Jobs

~ * * * This position has been filled * * * Title: Citrix Systems Engineer Company: Award winning financial institution headquartered in Nashville, TN Location: Nashville, TN area (hybrid role) Type: Full-time / Perm position Compensation: Lucrative compensation... 

GreatAuPair LLC

Personal Assistant Job at GreatAuPair LLC

We need help with household related tasks, Organizing the house, Cooking, Light Cleaning, Helping 13 year old child with homework. Driving her to school in Am. I am a Widowed Dad. Looking for sincere, caring person to help with general household tasks and help out our small... 

Rye Subaru

BOOKKEEPER Job at Rye Subaru

 ...automobile dealership that's been a trusted part of the community for over 60 years? We're looking for a motivated, detail-oriented Bookkeeper who will thrive in our supportive family environment. If you're dependable, organized, and great at keeping things running... 

Whitman Associates, Inc.

Marketing Specialist [4125] Job at Whitman Associates, Inc.

 ...Marketing Specialist [4125] Nonprofit community music school seeks a temporary, part-time Marketing Specialist to support programs by developing marketing initiatives and strategies for approximately 20-25 hours per week. Responsibilities: Manage paid advertising... 

Deadwood Lodge

Banquet Server Job at Deadwood Lodge

Job Summary: We are looking for a banquet server to provide table service and hospitality to our banquet guests. They will help maintain an efficient, clean, profitable and professional banquet dining room and serving area by insuring quality service and operational standards...