Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.

SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.

This role requires availability for our Monday-Friday, 9:30am - 6:00pm EST shift.

The Prior Authorization Specialist is responsible for obtaining prior authorizations for all prescriptions that require insurance carrier authorizations. 

Supervisory Responsibilities: 

• This position has no direct supervisory responsibilities.

Essential Duties and Responsibilities: 

• Contact insurance carriers to verify the patient’s insurance eligibility benefits and requirements
• Request track and obtain prior authorization from insurance carriers within the time allotted
• Request follow up and secure prior authorizations ahead of prescriptions leaving the pharmacy
• Communicate any insurance changes or trends among the team
• Maintains a level of productivity suitable for the department
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements including proper format
• Answering questions from patients clerical staff and insurance companies
• Identifying and resolving Prior Authorization roadblocks through various means including contacting physicians
• Participating in educational activities and attending staff meetings
• Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations
• Skills/Abilities: 
• Knowledge of medical billing/collection practice
• Knowledge of business office procedures
• Knowledge of basic medical coding and third-party operating procedures and practices
• Ability to operate a computer computer software and basic office equipment
• Ability to operate a multi-line telephone system
• Skilled in answering a telephone in a pleasant and helpful manner
• Ability to read understand and follow oral and written instructions
• Ability to establish and maintain effective working relationships with patients employees and the public
• Proficiency in reading writing and speaking English is required

Education and Experience:  

• 1-2 years of related experience required

Certificates/Licenses/Registration:

• Pharmacy Technician Certification Board (PTCB) or National Healthcare Association (NHA) license required

Physical Requirements: 

• Work is performed indoors with potential for exposure to safety and health hazards related to office work. Could periodically travel to other office and operational sites.  The noise level in the work environment is usually moderate.
• Prolonged periods of sitting at a desk and working on a computer.

SelectQuote Core Values: 

Service: We create positive customer experiences. 

Entrepreneurship: We create innovate & take risks. 

Leadership: We build & invest in high-performing teams. 

Empowerment: We embrace a changing environment. 

Courage: We challenge the status quo & drive continuous improvement.

Teamwork: We help support & celebrate each other.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required.