Clinical Services/Prior Authorization Representative

Locations:  Onsite - Gainesville, GA   

Schedule:  Full-Time, Monday – Friday

Pay Rate:  $19.00/Hour

ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:

• Manage incoming and outgoing calls, documenting all calls in the dedicated application for call
  documentation.


• Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior
  Authorization (PA) department.


• Analyze clinical PAs using the provided clinical protocols, and provide regarding PA requests
  based on provided documentation.


• Clarify any questions or concerns received from clients and/or internal departments.


• Assists with inquiries related to pre-authorizations referred by the account managers or other
  departments.


• Use online databases to document recommendations, clinical decisions, and responses.


• Deliver high-quality customer service in a fast-paced, dedicated PA program.


• Provide support on training new employees.


• Participate in training, conferences, orientations, and other activities related to your business unit.


• Must have a flexible work schedule to meet changing department needs.

QUALIFICATIONS AND REQUIREMENTS:

• Pharmacy technician certification (CPhT) required, registered preferred.


• Prefer 2 years experience working as a pharm tech or as a physician office assistant handling
  phone calls and reviewing charts.


• 1 year experience contacting other healthcare providers as part of daily job preference.


• Excellent communication skills working in a professional environment.


• Strong organizational skills working under time constraints in a constantly changing environment.


• PC experience to navigate new applications, with intermediate Excel and Word skills preferred.

Physical Demands:

• This role is primarily sedentary and requires the ability to sit for extended periods (minimum of 7 hours). The position required strong multitasking skills, attentions to detail, and the ability to lift and/o move up to 20 lbs.

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.


• Time to Recharge: Paid vacation and holiday pay.


• Focus on Your Wellness: We offer a robust Employee Wellness Program.


• Invest in Your Future: 401(k) with a company match.


• Support System: Employee Assistance Program provides confidential support and counseling.


• Get Rewarded for Referring Great People: Employee referral program.

Ready to start your rewarding journey with us? Apply today!

Please note while this job description is a comprehensive overview, additional responsibilities may be part of the role.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process.  All interviews are conducted in-person OR through video conference invitations from official company emails.  For inquiries, please contact our official recruitment team at [email protected].

ProCare Rx is an Equal Opportunity Employer.