We are redirecting you to the source. If you are not redirected in 3 seconds, please click here.

Prior Authorization Coordinator (Remote) at Jobgether. This position is posted by Jobgether on behalf of . Medical Review Institute. . We are currently looking for a . Prior Authorization Coordinator. in the . United States. .. . As a Prior Authorization Coordinator, you will play a vital role in managing and processing medication authorization requests efficiently and accurately. This is a remote opportunity suited for individuals with strong attention to detail, a background in pharmacy or healthcare administration, and a passion for delivering outstanding service. You'll collaborate with clinical pharmacists, physicians, and healthcare partners to ensure high-quality, timely decision-making that supports patient care and compliance. If you thrive in a fast-paced environment and are driven by precision and purpose, this role is an excellent fit.. . Accountabilities:. . Process prior authorization (PA) requests in compliance with client-specific guidelines and turnaround times.. . Enter and prioritize PA information, ensuring accuracy and adherence to performance guarantees.. . Investigate formulary alternatives, assess medication history, and use drug references to validate indications.. . Collaborate with clinical pharmacists, escalating cases that require medical decisions beyond administrative processing.. . Communicate with members, physicians, and pharmacies to gather missing details or clarify pending requests.. . Accurately document decisions, status updates, and communication trails.. . Identify process improvements and participate in quality initiatives and compliance programs.. . Maintain confidentiality and follow HIPAA protocols.. . Support feedback cycles and continuously improve performance.. . . High school diploma or equivalent; active Certified Pharmacy Technician license (state or national).. . At least 1 year of prior authorization experience preferred.. . Experience in a health plan or Pharmacy Benefit Manager setting is a plus.. . Strong understanding of medication and disease states within pharmacy practice scope.. . High computer literacy (Microsoft Word, Excel, Adobe) and data entry proficiency.. . Excellent organizational, communication, and critical thinking skills.. . Proven ability to prioritize, meet deadlines, and handle multiple tasks simultaneously in a remote work setting.. . Strong customer service orientation with professional written and verbal communication.. . . Company Location: United States.