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Prior Authorization Specialist

California Specialty Pharmacy,LLC
📍 California, US On-site Prior Authorization Posted 2026-07-25

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Job Description

Continuumrx is currently recruiting employees in Birmingham, Alabama to support our Acute Authorization and Verification Team! Job Summary: The Verification Specialist - Specialty role is responsible for processing benefit verification of benefits for acute patients. The primary role of the Authorization Specialist is to review, process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations. Verification Specialist Roles and Re…
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A Day in the Life: Prior Authorization
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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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