Job Summary: Join the Pharmacy Authorization Team!
The Financial Clearance Authorization Specialist supports the quality, accuracy,
and day-to-day effectiveness of Parkview's centralized retail medication prior
authorization services. This position serves as a key resource for medication
authorization workflow questions, complex cases, quality review, issue
resolution, and communication between Parkview practices and offshore
centralized authorization partners, Vee Healthtek.
The role works closely with pharmacy authorization staff, provider offices,
operational leaders, and external service partners to ensure medication prior
authorizations are processed accurately, efficiently, and according to
established workflows. The specialist reviews authorization activity for
accuracy, identifies workflow or documentation concerns, helps resolve complex
or unclear cases, provides real-time guidance, and follows issues through
resolution.
This is a highly collaborative, detail-oriented position requiring strong
knowledge of medication prior authorization processes, payer requirements,
pharmacy workflows, and electronic health record documentation. The successful
candidate will be comfortable investigating individual cases, recognizing
patterns across cases, communicating clear guidance, and helping improve
processes when recurring issues are identified.
The position supports a centralized authorization operation serving the majority
of PPG offices. This team responds to practice questions through secure chat,
inbox messages, RightFax, and email. This position is fully remote with only
periodic onsite or in-person requirements.
QUALIFICATIONS
Education Must be a high school graduate or the equivalent with GED.
Experience Minimum of two years experience in health care setting, call center,
or clerical position, including experience using Microsoft Office applications
required. One year insurance authorization experience preferred.
Other Qualifications Must have excellent verbal and written communication
skills. Must be able to demonstrate a working knowledge of general computer
skills and applications. Demonstrates ability to multi-task and work
independently using critical thinking skills.