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 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.
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
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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.
Worksite address
montvale, NJ, 07645, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.