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Healthcare Support

Prior Authorization Specialist – CPhT

montvale, NJ

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About this opportunity

Healthcare Support lists this Prior Authorization Specialist – CPhT opportunity in montvale, New Jersey. Review the employer’s description below for duties, qualifications and application requirements.

Job description

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 PM

Onsite in Montvale, NJ

Compensation

Up to $60,000 annually, depending on experience

Benefits

Medical, dental, and vision insurance

Multiple medical plan options, including HSA-eligible plans

Benefits effective the 1st of the month following hire

401(k) company match: 50% of the first 4% contributed

100% immediate vesting

Paid Time Off

Tuition reimbursement

Short-term and long-term disability

Basic Life & AD&D insurance at 2x salary

FSA 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. xavwley

Required Qualifications:

Certified Pharmacy Technician (CPhT) required

Claims adjudication, prior authorization expertise

Strong customer service orientation and commitment to delivering concierge-level service

Ability to work in a fast-paced environment

Ready to take the next step?

Click Apply Now for immediate consideration or email your resume or connect directly:

Call: (4

Schedule: :

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.

Worksite address

montvale, NJ, 07645, US

Who can apply

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