Authorization Specialist - Medications

Employment Type:Full time
Shift:
Description:Responsible for reviewing, submitting, monitoring and responding to issues regarding medication prior authorizations for IHA patients. Reviews patient medical history to identify supporting documentation in the patient chart relevant to the medication; contacts insurance companies and obtains authorization for medication.

Trinity Health IHA Medical Group is seeking a customer-focused Authorization Specialist – Medications. Responsible for reviewing, submitting, monitoring and responding to issues regarding medication prior authorizations for IHA patients. Reviews patient medical history to identify supporting documentation in the patient chart relevant to the medication; contacts insurance companies and obtains authorization for medication.

• Contact insurance companies and obtain authorization.
• Responsible for reviewing, submitting, monitoring and responding to issues regarding medication prior authorizations
• Performs data collection and data review as required
• Contacts insurance companies via appropriate methods and obtains medication authorizations
• Obtains urgent authorizations same day and next day.
• Support referrals, authorizations, and patient outreach activities.
• Maintain accurate documentation and patient records.

• EDUCATION:
  
  High School Diploma
• CREDENTIALS/LICENSURE:
  None
• MINIMUM EXPERIENCE:
  
  1- 3 years' previous related experience in pharmacy or equivalent medical setting and/or prior authorization experience.

• Day-one benefits for eligible team members with no waiting period.
• Opportunities for professional growth and career advancement.
• Supportive, collaborative team environment.
• Meaningful work helping patients navigate their healthcare journey.
• A mission-driven organization dedicated to serving communities across Southeast Michigan.

At Trinity Health IHA Medical Group, we are committed to delivering exceptional patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you're passionate about helping others and creating outstanding customer experiences, we'd love to hear from you.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.