Job Description
High Lakes Health Care , part of Praxis Health, is seeking a detail-oriented and knowledgeable Medication Authorization Specialist to support our healthcare team by managing the prior authorization process for prescribed medications. This role ensures that patients receive timely access to medications by coordinating with healthcare providers, insurance companies, and pharmacies while verifying coverage requirements and formularies. The ideal candidate has strong experience in medication prior authorizations, insurance policies, and healthcare documentation. Schedule: Monday - Friday, 8:00am - 5:00pm Benefit Highlight Medical, Dental, Vision with In-Network & Custom Network discounts 401(K) with discretionary employer match Paid Time Off Free clinical diagnostic laboratory testing performed in-house We are excited to share with you a short video that shows why the Praxis Health family is so special. Please click here: https://youtu.be/MrNWtn42prY Essential Job Functions Manage and process medication prior authorizations for prescribed treatments. Review patient insurance plans to determine coverage requirements, formulary restrictions, and authorization guidelines . Submit prior authorization requests through payer portals, electronic systems, or phone/fax as required. Gather and review clinical documentation needed to support authorization requests. Communicate with physicians, clinical staff, pharmacies, and insurance representatives to resolve authorization issues. Track authorization status and follow up with payers to ensure timely approvals or denials. Identify alternative medications when required due to formulary restrictions and coordinate with providers. Maintain accurate documentat