Prior Authorization Specialist - Pharmacy

Facility:

CoxHealth South: 3801 S National Ave, Springfield, Missouri, United States of America, 65807

Department:

1728 Medication Support

Scheduled Weekly Hours:

40

Hours:

8:00 AM-5:00 PM

Work Shift:

Day Shift (United States of America)

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

• Named one of Modern Healthcare’s Best Places to work five times.
• Named one of America’s Greatest Workplaces by Newsweek.
• Recognized as a Greatest Workplace for Women in both 2023 and 2024.
• Listed as one of the Greatest Workplaces for Diversity in 2024.
• Acknowledged by Forbes as one of the Best Employers for New Grads.
• Ranked among the Best Employers by State for Missouri.​
• Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.

Benefits

• Medical, Vision, Dental, Retirement Plan with employer match, and many more!
• For a comprehensive list of benefits, please click here: Benefits | CoxHealth

Job Description:

The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs. The goal of the Prior Authorization Specialist is to work with other departments in order to complete prior authorizations through the various methods that are required by insurers.Education: ▪ Required: High School Diploma or Equivalent Experience: ▪ Required: One year customer service or pharmacy experience ▪ Preferred: At least one year experience as a Pharmacy Technician Skills: ▪ Strong customer service skills when working with various staff members. ▪ Have professional verbal and written communication skills. ▪ Ability to work independently and be self-directed to complete prior authorizations in a timely manner. ▪ Possess excellent time management skills. ▪ Proficient using computers, including all Microsoft programs and promote the mission and values of CoxHealth Licensure/Certification/Registration: ▪ Preferred: Registered with Missouri State Board of Pharmacy Technician OR application completed upon hire and obtained within 90 days of hire.