Job Description

Job Description

Job Description

Job Title: On-Site Prior Authorization Specialist (Senior Level Pharmacy Technician)

Location: New York, NY (10017)

Compensation: $30-$31/hour

Hours: Monday - Friday 8a-5p

About the Role

We are seeking an experienced and motivated Prior Authorization Specialist to join our on-site pharmacy team in NYC. This role is considered a senior-level pharmacy technician position, requiring strong attention to detail, excellent communication skills, and the ability to seamlessly integrate with clinical staff. You will work closely with patients, providers, and insurance companies to ensure timely medication access, adherence, and financial assistance support.

Key Responsibilities

• Work directly with patients in specialty clinics, encouraging utilization of pharmacy services to maximize patient care outcomes.
• Collaborate with clinic teams (physicians, nurses, staff, pharmacists) to support continuity of care.
• Facilitate approvals of medications through insurance prior authorizations and financial assistance programs.
• Provide patient support by adjudicating claims, refilling medications, and promoting adherence through outreach calls.
• Review prescriptions with physician offices and communicate with insurance companies to resolve prior authorization barriers.
• Document all patient interactions, prior authorization statuses, and assistance efforts across EMRs, databases, and email systems.
• Track and meet performance metrics including:
• Prescription refill queue times
• Patient outreach efforts (timestamped)
• 31+ completed activities per week
• 24-48 hour turnaround time on submissions
• 98% approval rate on prior authorization requests

Training & Tools

• Comprehensive 6-week training program including remote learning, shadowing, and hands-on system training.
• Gain expertise in EPIC and other pharmacy applications.

Qualifications (Must-Have Skills)

• National certification (PTCB or NHA) required unless located in a state with licensure requirements.
• Minimum 1 year of pharmacy experience with prior authorizations.
• Strong background in insurance adjudication.
• Excellent communication, organizational, and teamwork skills.
• Proven ability to work in a fast-paced, patient-centered environment.

Why Join Us?

This is an opportunity to play a key role in delivering high-quality, patient-centered medication access and adherence support . The right candidate will be joining a selective and collaborative team committed to excellence in patient care.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?

Job Tags

Local area, Remote work, Monday to Friday,

Similar Jobs