EPITEC · 8 hours ago
Prior Authorization Specialist
Detroit, MI
Contract
Hybrid
Entry, Mid Level
$21/hr - $21/hr
2+ years expEPITEC is a company that provides staffing solutions, and they are seeking a Prior Authorization Specialist to support a high-volume contact center. This role involves processing mail and handling inquiries related to pharmacy benefits while ensuring compliance with strict timelines and delivering excellent service to members and healthcare providers.
Information TechnologyStaffing Agency
Responsibilities
Process inbound mail and requests related to medication review and authorization workflows
Respond to member and provider inquiries regarding pharmacy benefits, drug coverage, and determination requirements
Ensure all urgent and standard requests meet strict regulatory and internal timeframes (24 hours urgent, 72 hours standard)
Work scheduled onsite rotations as required and adjust to schedule changes based on business needs
Maintain accurate documentation and comply with all procedures, quality standards, and performance expectations
Support peak-season workload (October–March), managing a high volume of inquiries efficiently
Qualification
Required
Minimum 2 years of retail pharmacy experience
Strong computer skills: typing, email, Outlook, Excel, and general navigation proficiency
Solid foundational knowledge of drug names, classifications, and therapeutic categories
Excellent customer service, attention to detail, and the ability to multitask in a dynamic setting
Adaptability and willingness to embrace process changes
Preferred
Prior call center experience
Familiarity with CMS guidelines and Medicare Part D processes
Certified Pharmacy Technician (CPhT) credential
Benefits
1 week PTO
Medical contribution to insurance - if desired
Company
EPITEC
Epitec is a premier technology services and professional staffing company.
1001-5000 employees
H1B Sponsorship
EPITEC has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (189)
2024 (148)
2023 (154)
2022 (266)
2021 (203)
2020 (172)
Funding
Current Stage
Late StageLeadership Team
Mark Ruma
Chief Operating Officer (COO)
Company data provided by crunchbase