Prior Authorization Specialist – CPhT

Prior Authorization Specialist – CPhT | Montvale, NJ

Please double check you have the right level of experience and qualifications by reading the full overview of this opportunity below.

HealthCare Support is seeking a Prior Authorization Specialist - CPhT to join a growing Pharmacy Benefit Management (PBM) organization in Montvale. This is a great opportunity for a Certified Pharmacy Technician looking to utilize their pharmacy experience in a non-retail, office-based setting. You'll focus on prior authorizations, pharmacy claims, and resolving coverage issues to help members access their medications.

Schedule

Monday-Friday, 10:30 AM-7:00 PMOnsite in Montvale, NJ

Compensation

Up to $60,000 annually, depending on experience

Benefits

Medical, dental, and vision insuranceMultiple medical plan options, including HSA-eligible plansBenefits effective the 1st of the month following hire401(k) company match: 50% of the first 4% contributed100% immediate vestingPaid Time OffTuition reimbursementShort-term and long-term disabilityBasic Life & AD&D insurance at 2x salaryFSA and HSA options

Daily Responsibilities

Provide efficient administrative and operational support to adjudication, prior authorization, and clinical review teams. Accurately process claim overrides and case documentation in accordance with standard operating procedures (SOPs). Ensure compliance with all turnaround times and quality metrics to meet member and client expectations. Assist clinical pharmacists and operations teams with workflow management and reporting needs. xzbcwsv

Required Qualifications:

Certified Pharmacy Technician (CPhT) requiredClaims adjudication, prior authorization expertiseStrong customer service orientation and commitment to delivering concierge-level serviceAbility to work in a fast-paced environment

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Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.