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Overview:
- Reviews and processes incoming prior authorization requests for various medications.
- Works with clinical and team members to ensure accurate and timely processing.
Responsibilities:
- Research and analyze electronic and manual claims.
- Communicate prior authorization criteria to providers and aid in request submission.
- Participate in projects and maintain scheduled hours to support team coverage.
Qualifications:
- High school degree or equivalent; post-high school education desired.
- Previous customer service experience required; prior authorization or PBM experience desired.
Lumicera
Lumicera Health Services is a specialty pharmacy focused on optimizing patient well-being through transparency and stewardship. It fosters a diverse and creative work environment as part of the Navitus organization.