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Chaparral Medical Group
Ontario, California
Source: Chaparral Medical Group careers · View original posting
From Chaparral Medical Group's posting. “We” and “our” refer to the employer.
Company Overview
Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California’s Inland Empire. In 2022, CMG joined forces with Akido Labs
, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG’s medical services with Akido’s innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work.
As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives.
We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you’ll join our team
Position Summary
The Pharmacy Technician – Prior Authorization Specialist is responsible for managing and coordinating medication prior authorization requests across all clinics within the organization. This role serves as a critical liaison between providers, patients, pharmacies, insurance carriers, and clinical staff to ensure timely approval of prescribed medications and continuity of care.
The Pharmacy Technician will review authorization requirements, gather necessary clinical documentation, submit requests, monitor pending cases, and communicate outcomes to key stakeholders. Success in this role requires strong attention to detail, knowledge of pharmacy benefit management processes, excellent communication skills, and the ability to work efficiently in a fast-paced healthcare environment.
Essential Functions
Process medication prior authorization requests for all clinic locations in accordance with payer requirements and organizational standards.
Review patient charts and clinical documentation to ensure completeness prior to submission.
Collaborate with providers, medical assistants, nurses, and clinic staff to obtain supporting clinical information.
Submit prior authorization requests through payer portals, electronic prior authorization systems, fax, or phone.
Monitor authorization status and follow up with insurance companies to expedite approvals.
Communicate authorization determinations, denials, and appeals requirements to providers and clinic teams.
Maintain accurate documentation of all authorization activities within the electronic health record (EHR).
Track authorization turnaround times and identify barriers impacting medication access.
Assist in resolving medication coverage issues and identify alternative formulary options when appropriate.
Ensure compliance with regulatory requirements, insurer guidelines, and organizational policies.
Hourly pay range
$28 — $32 USD
Chaparral Medical Group and Akido MSO are an equal opportunity employers, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
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