Pharmacy Prior Authorization Specialist (ON SITE) - job 1 of 2

As a Pharmacy Prior Authorization Specialist at Blink Health, your responsibilities will include initiating prior authorization requests, identifying the required forms based on insurance providers, and ensuring that essential information is accurately communicated between prescribers and medical offices. You’ll also be following up with medical offices to check the status of prior authorization requests and communicating updates to patients and providers.

To qualify for the Pharmacy Prior Authorization Specialist position at Blink Health, a high school diploma or GED is required, while a Bachelor’s degree is strongly preferred. You'll need at least one year of customer service or inbound call center experience and strong verbal and written communication skills. Familiarity with prior authorizations or insurance verification in a pharmacy is a plus.

While prior authorization experience is preferred for the Pharmacy Prior Authorization Specialist position at Blink Health, it is not mandatory. Candidates with a strong customer service background and the ability to communicate effectively may also be considered. However, any experience working in pharmacy benefits or claims would certainly enhance your application.

The Pharmacy Prior Authorization Specialist position at Blink Health offers a full-time schedule with rotational shifts ranging from 8 am to 8 pm. All candidates should be flexible to work Saturday shifts as well, making it a great opportunity for those who can adapt to different schedules.

As a Pharmacy Prior Authorization Specialist at Blink Health, you can look forward to a comprehensive benefits package that includes health insurance, 401K options, holiday pay, and eligibility for overtime. Plus, you’ll enjoy a casual dress code and free snacks in the workplace!

To prioritize tasks effectively, I focus on the urgency and importance of each prior authorization request. I assess deadlines, communicate with medical offices and providers about their timelines, and make sure to follow up on the requests that require immediate attention to ensure patients get their medications on time.

The prior authorization process requires healthcare providers to obtain approval from insurance companies before prescribing certain medications. This involves gathering information about the patient's condition, the prescribed medication, and sometimes alternative treatment options, then submitting the necessary forms for review. Understanding this process is crucial to ensure that patients can access their required medications without unnecessary delays.

I believe in maintaining open lines of communication and being approachable. I keep patients informed about their prior authorization status by giving real-time updates, and I ensure clarity and responsiveness when interacting with healthcare providers. Active listening helps me understand their concerns, making it easier to address any issues that arise.

In a past role, I encountered a patient frustrated with their insurance's denial for a medication. I listened carefully, empathized with their situation, and assured them I would do my best to help. I collaborated with the medical team to gather additional information and resubmitted the request, which ultimately led to approval. This experience reinforced the importance of empathy and persistence in difficult situations.

I use various organizational tools, including spreadsheets and task management software, to keep track of requests and deadlines. I also set daily priorities and review progress regularly to avoid overlooking any requests. This structured approach enables me to handle multiple requests effectively without sacrificing accuracy or detail.

Attention to detail is critical in the role of a Pharmacy Prior Authorization Specialist, as even small errors can lead to significant delays in medication access for patients. Ensuring that the correct information is accurately reflected on prior authorization forms is essential for streamlining patient care and facilitating effective communication with providers and insurers.

Patient care is essential in the pharmacy industry because it directly impacts the health and well-being of individuals. Providing support during the prior authorization process ensures patients can access necessary medications while minimizing stress during an already challenging time. Exceptional patient care promotes trust and can lead to improved health outcomes.

I have experience using various pharmacy management systems and insurance verification software that streamline the prior authorization process. Tools like electronic health records (EHR) and customer relationship management (CRM) systems also help track requests and ensure compliance with protocols.

When encountering roadblocks, I first identify the specific cause, whether it's missing information from a provider or issues with submitting a request. I then take a proactive approach by communicating clearly with all parties involved, looking for alternative solutions, and following up to ensure that the issue is resolved efficiently.

I am motivated by the opportunity to make a positive impact on people's lives, especially during vulnerable moments when they need medications the most. Working in patient care and prior authorization allows me to advocate for patients and help simplify the process, contributing to their overall health and well-being.