Medication Prior Authorization Specialist
Job description
About Affinity Healthcare Solutions
Affinity Healthcare Solutions, we care about physicians and their patients. We offer healthcare management service organization assistance including operations support, financial sustainability consulting, and clinical integration assistance, among other services to help physicians keep a pulse on their business, remain profitable, and ultimately stay independent.
Affinity Healthcare Solutions began as an independent physicians’ group, Palmetto Primary Care Physicians (PPCP), in 1996. More than 22 years later, we are proud to report that PPCP has grown to the largest independent multi-specialty group practice in South Carolina, with over 90 providers across 32 offices, and over 480 total staff members. Affinity Healthcare Solutions has the experience and skills necessary to understand and prioritize our customers’ needs and guide them through the process of expanding their businesses -- because we’ve also been physicians, managing and growing practices on our own. From contract negotiations to HR disputes, we’ve been on the front lines defending the interests of our physicians. We will stand with you as a physician MSO partner who has been there, done that, and understands what you’re facing.
To learn more about Affinity, visit https://www.affinityhealthcaresolutions.com/
- Offer 401K with generous company match
- Medical, Dental, Vision Benefits
- Short Term and Long-Term Disability Offered
Job Summary:
Supports the organization’s mission, vision, and values by exhibiting compassion, integrity, accountability and excellence. Serves as a key member of the interdisciplinary patient care team, collaborating with providers, colleagues, patients, and family members to promote a patient-driven model of care that ensures the delivery of quality and cost-effective healthcare services.
Job Functions:
- Completes prior authorization requests for medication.
- Assures timely completion of all prior authorization requests with a goal of no longer than 72 hours turn-around time.
- Assists with medical necessity documentation to expedite approvals of medications and procedures.
- Collaborates with providers/payers/pharmacist/patients to assure appropriateness of medications/ procedures needing prior authorization and to reduce barriers to patient receiving quality patient care.
- Partners and collaborates with other departments cross functionally regarding prior- authorization and/or clinical care services.
- Adapts departmental plans and priorities to address business and operational challenges.
- Build effective and professional relationships with internal (PPCP) and external (community) providers.
- Attends all care coordination meetings.
- Other duties as assigned.
Position Qualifications:
- Education: GED or High School Diploma required
- Experience: Minimum of 2 years’ experience in a pharmacy setting preferred. Proficient PC skills including ECW and Microsoft Excel preferred.
- Licensure/Certification: Licensed Pharmacy Technician, State of SC certification
Job Type: Full-time
EOE
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Education:
- High school or equivalent (Required)
Experience:
- Pharmacy Technician: 2 years (Preferred)
License/Certification:
- SC Pharmacy Technician Certification (Required)
Work Location: One location
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