East Stroudsburg, Pennsylvania
Easton, Pennsylvania
Tamaqua, Pennsylvania
Morristown, New Jersey
Freehold, New Jersey
Posted: 25-May-26
Location: Hershey, Pennsylvania
Categories:
Internal Number: 93824
Location: US:PA: Hershey
Work Type: Full Time
FTE: 1.00
Shift: Varied
Hours: 8:00a - 8:00p
Recruiter Contact: Melissa Leota at mleota@pennstatehealth.psu.edu
SUMMARY OF POSITION:
Researches, obtains authorizations, insurance verifications, clinical documentation, prescription information and financial ability information needed to ensure when a prescriber writes a Specialty (high price, high risk and high touch) medication, so that the patient is able to initiate therapy in a timely and cost efficient manner.
MINIMUM QUALIFICATIONS:
- High School Diploma or equivalent required.
- Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required.
KNOWLEDGE, SKILLS, & ABILITIES:
- Ability to understand and analyze lab and clinical data within the patient?s EMR.
- Ability to understand third party payer and insurance complexities.
- Ability to communicate professionally with all patients, peers, providers.
- Ability to train new hires. Ability to multitask due to the high volume of phone calls.
- Ability to know and understand complex therapies.
PREFERRED QUALIFICATIONS:
- Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers preferred.
WHY PENN STATE HEALTH?
Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.
Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:
- Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
- Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
- Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
- Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
- Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.
WHY PENN STATE HEALTH MILTON HERSHEY MEDICAL CENTER?
Penn State Hershey Medical Center is Central Pennsylvania?s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth.
YOU TAKE CARE OF THEM. WE?LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence ? that?s Penn State Health. But what makes our healthcare award-winning? That?s all you.
This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.
Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health?s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.
Union: Non Bargained