Prior Authorization Specialist, Medication Management

The Prior Authorization Specialist coordinates insurance prior authorizations for prescribed medications, liaises with providers, insurance companies, and patients to obtain verifications and secure authorizations, communicates updates throughout the process, escalates complex cases to supervisors, and maintains proficiency with the EMR and online/telephone workflows to ensure timely authorization resolution. Skills include handling multiple work queues, documentation in medical records, clinical information exchange with insurers, customer service, and collaboration with care teams to facilitate patient access to medications.