Prior Authorization Coordinator

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Overview

The Prior Authorization Coordinator will facilitate the logging in and out of all prior authorization, appeal, reimbursement and grievance requests, and follow-up on requests to ensure that all are resolved and completed in a timely manner. The coordinator will ensure that all steps involved with the process are completed and all regulatory requirements are met or exceeded. They will also be responsible for the pharmacy medical exception line to address provider questions regarding the formularies for all lines of business serviced by Pharmacy Benefit Dimensions.

The coordinator will also be assigned to provide high quality, diverse administrative support including but not limited to faxing prior authorizati...