Job Description
Hawai'i Island Community Health Center Prior Authorization Specialist East or West Hawaiʻi Island | Full-Time Help patients access the medications they need. Make a difference every day. Hawaiʻi Island Community Health Center is seeking a compassionate, detail-oriented Prior Authorization Specialist to join our Clinical Pharmacy team. In this vital role, you will work closely with pharmacists, providers, insurance companies, specialty pharmacies, and patients to coordinate medication approvals…
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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