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

SimVentions, Inc - Glassdoor ✪ 4.6

Android developer Job at SimVentions, Inc - Glassdoor ✪ 4.6

 ...experience in Python software development Strong expertise in Android software and application development Clarity in documenting...  ...in a dynamic and flexible work setting Responsibilities: Develop, troubleshoot, and maintain Python software, primarily designed... 

Siemens SI - North America

Precision Sheet Metal Forming Technician (Press Brake) Job at Siemens SI - North America

 ...Build the grid of the future with Siemens Electrification & Automation (E&A) powers reliable distribution today and invests in Future Grids for tomorrow. Based in Wendell, NC, this role forms critical metal components that keep industries and communities moving.... 

JFK Johnson Rehabilitation Institute

VICE PRESIDENT, CHIEF PHARMACY OFFICER Job at JFK Johnson Rehabilitation Institute

Vice President, Chief Pharmacy Officer HMH HOSPITALS CORPORATION Edison, New Jersey Apply Requisition # 2025-171736 ShiftDay StatusFull...  ...of what your daily routine around the office can be like. Learn More Awards Weve Received 2025 US News & World... 

CRH

Repair and Maintenance Shop Trainee Job at CRH

 ...integrated supplier of asphalt, aggregates, cement, ready-mix concrete, and paving and construction services in North America. Our 24,...  ...innovative products and services. Position Overview The Repair and Maintenance Shop Trainee will work directly with an... 

Wells Fargo

2027 Summer Internship, Early Careers - Investment Banking - CA (California) Job at Wells Fargo

2027 Investment Banking Summer Analyst Program Invest in your tomorrow Wells Fargo Corporate & Investment Banking delivers a comprehensive suite of capital markets, banking, and financial products and services to over 12,000 clients around the world, including over...