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Prior Authorization Specialist
Career Insights for Medical Claims Processor / Representative
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Based on Louisiana data
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What they do
A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
$41,082 / year median in Louisiana
-3% projected decline
Job Description
The Willis Knighton Department of Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our team. This individual will work directly with our Outpatient Infusion Units under the supervision of the Pharmacy Director and act as a liaison between patients, healthcare providers, and insurance companies to ensure timely patient care and compliance with payer requirements. A high school diploma is required, and a basic knowledge of medical terminology, medical billing, and familiarity with computers and Microsoft Office products is preferred. The Prior Authorization Specialist will review medication orders to determine if medications require prior authorization, verify insurance coverage, and work closely with healthcare providers to collect necessary clinical information. Great attention to detail is a necessary quality. The shift hours will be 8-hour days. If you are interested, please apply for this position.