Medix · 1 day ago
Prior Authorization Specialist
Pittsburgh, PA, US
Full-time
Onsite
Entry, Mid Level
$22/hr - $22/hr
2+ years expMedix is dedicated to providing workforce solutions across multiple industries and is seeking a Prior Authorization Specialist to help patients access specialty medications. The role involves supporting healthcare providers through the prior authorization process, from benefit verification to submission and follow-up.
MedicalPharmaceuticalWholesale
Responsibilities
Communicate with prescriber offices to facilitate all steps of the PA process (via phone, chat, and email)
Use various technology platforms to gather, submit, and track prior authorization cases
Conduct benefit verification and navigate insurance requirements for both pharmacy and medical benefits
Assemble complete case files using clinical documentation like chart notes, lab results, and medication histories
Troubleshoot and follow up with payers until a final determination is reached
Collaborate with internal teams to ensure process efficiency and patient-first outcomes
Qualification
Required
Minimum 2 years of specialty pharmacy experience with a focus on prior authorization and benefit verification
Strong understanding of drug names, medical terminology, and insurance workflows
Excellent verbal and written communication and customer service skills
Comfortable using evolving technologies and general computer proficiency
Preferred
Highly organized and detail-oriented
Strong time management and prioritization abilities
Critical thinking and independent problem-solving skills
Able to work independently while contributing positively to a collaborative team environment
Benefits
Help real patients get the treatments they need
Be part of a mission-driven, solutions-focused team
Work in a vibrant part of Pittsburgh's Strip District
Stable full-time hours with a competitive hourly wage
Company
Medix
At Medix Distribution, we have designed solutions to meet the medical needs for the betterment of society as a whole.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase