Job Description
Anticipated End Date: 2026-05-01 Position Title: Pharmacy Prior Authorization Specialist - BioPlus Specialty Pharmacy Job Description: Pharmacy Prior Authorization Specialist - BioPlus Specialty Pharmacy Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Th
7:00 AM
Review the surgical and procedure schedule for the next 48–72 hours. Every case that requires authorization needs to be cleared be…
7:30 AM
Pull the PA worklist. Filter by date of service — cases with the earliest service dates get worked first. High-cost procedures (su…
8:30 AM
Submit PA requests to payers. Each payer has its own portal, its own forms, its own documentation requirements. You know them all…
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