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Prior Authorization Specialist - Pharmacy

MaineHealth | Westbrook, ME, United States

Posted Date 5/06/2025
Full job description

Professional - Clinical
Req #: 31887

Summary

The Prior Authorization Specialist role verifies medication-related insurance eligibility, benefits, verification, prior authorization and researches medication denials to ensure payments are processed on a timely basis.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

  1. Education: High school diploma or GED preferred.
  2. License/Certifications: N/A
  3. Experience: Experience as a medical assistant, pharmacy technician, or prior authorization work in healthcare or related environment required.
  4. Additional Skills/Requirements Required: N/A
  5. Additional Skills/Requirements Preferred: Medical Terminology. Knowledge of Medical Insurance and concept of referrals/pre-authorizations.
Additional Information 

With a career at any of the MaineHealth locations across Maine and New Hampshire, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
 
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you’re looking to build a career in a place where people help one another deliver best-in-class care, apply today.

If you have questions about this role, please contact Todd R. Nevins at todd.nevins@mainehealth.org
Job Type
Regular
Industry
Healthcare | Pharmaceutical

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