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Prior Authorization Specialist / Remote
BrightSpring Health Services
πŸ“ Castlewood, Centennial 🌐 Remote Prior Authorization Posted 2026-03-11
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Job Description

Amerita This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - Friday 9:30am - 6:30pm CST We Offer: β€’ Competitive Pay β€’ Health, Dental, Vision & Life Insurance β€’ Company-Paid Short & Long-Term Disa
A Day in the Life: Prior Authorization
Full Career Guide β†’
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 β€” 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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