Top 8 Authorization specialist Jobs in Mobile Al

Pharmacy Benefit & Authorization Specialist
Palmetto Infusion —Irvington, AL
- Microsoft Outlook
- Ability to walk for extended periods
- Word processing
- Health savings account
- Paid holidays
Care Access Associate - UH Radiology - University Hospital
USA Health —Mobile, AL
- Overtime
- Hospital
- HIPAA
- High school diploma or GED
12d
Release of Information Specialist | Coding
Infinx —Mobile, AL
- $17 - $20 an hour
- Full-time
- Anatomy knowledge
- HIPAA
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
PRN Patient Experience Associate/Care Coordinator
Sage Health —Mobile, AL
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Release of Information Specialist Mon-Fri 8am-4:30pm
Vital Holdings LLC —Mobile, AL
- $14 - $15 an hour
- Monday to Friday
- HIPAA
- Windows
- High school diploma or GED
Quick Apply
Front Office Specialist
EyeCare Associates —Bay Minette, AL
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
12d

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Alabama Medical Group, P.C. —Mobile, AL
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Pharmacy Benefit & Authorization Specialist

Palmetto Infusion -
Irvington, AL

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Job Details

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Employee discount
Life insurance
Referral program

Qualifications

Microsoft Outlook
Word processing
Employee relationship building
Pre-authorization review for utilization management
Pharmacy Technician Certification

Full Job Description

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life.

At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.

For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

About the Role:

The Pharmacy Benefit Specialist will serve as the primary escalation point for all pharmacy benefit-related issues. This role is critical in supporting intake processes, resolving complex claim issues, and developing strategic solutions to address root causes.

Minimum Qualifications:

Experience/Education:

Pharmacy Technician Certification required
2 years of experience related to pharmacy benefits and prior authorization processes, strong understanding of pharmacy benefit management and claims processing.
Proficient at partner programs (i.e.: MS Outlook, Word, Excel).
Ability to cope with ambiguous, changing environment while under pressure in a calm manner.
Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion.

Essential Functions:

Act as the escalation point for all pharmacy benefit-related concerns, including handling calls from patient services and pharmacy teams
regarding claim issues.
Run test claims during the intake process to proactively identify potential issues.
Advocate for prior authorization approvals and assist with challenging cases.
Monitor pending referrals to identify opportunities for intake process improvements.
Provide oversight of pharmacy claims processing, including monthly reporting to identify trends and areas for improvement.
Develop and maintain job aids and training materials to support ongoing education efforts within the team.
Audit PBM prior authorization request submissions to ensure accuracy, compliance, and timeliness.
Provide expert support to address and resolve claim rejections efficiently.
Collaborate with cross-functional teams to build and refine a decision tree, determining when claims should be billed through pharmacy benefits
versus medical benefits.
Offer input related to PBM settings within claims systems to optimize workflows and maximize efficiency.

About the Benefits:

Competitive Compensation
Comprehensive Medical Insurance
Dental and Vision Insurance
Company Life Insurance
Voluntary Life and Disability Insurance
Additional Voluntary Supplemental Plans
Flexible Spending Account (Medical and Dependent Care)
Health Savings Account
401K Retirement Plan
Employee Assistance Program (EAP)
Employee Discounts
Ramsey SmartDollar Program
Referral Program
Tuition Assistance
Paid Time Off
8 Paid Company Holidays

Patient Advocacy Statement:

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive.

Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

OTHER

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

authorization specialist jobs in mobile al

Pharmacy Benefit & Authorization Specialist

Care Access Associate - UH Radiology - University Hospital

Release of Information Specialist | Coding

PRN Patient Experience Associate/Care Coordinator

Release of Information Specialist Mon-Fri 8am-4:30pm

Front Office Specialist

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