PRN Prior Authorization Assistant

Join a mission-focused team, where we work every day to improve the health of our community by providing equitable and affordable medical, behavioral, and dental healthcare for all. As part of a dedicated, mission‑driven team, you’ll contribute to whole‑person, integrated care that supports patients across the region. Build a meaningful career while enjoying life in a vibrant mountain community at a workplace committed to family‑friendly scheduling and true work–life balance. With year‑round access to skiing, hiking, biking, and a wide range of outdoor recreation, this is an ideal opportunity for individuals seeking both professional fulfillment and an exceptional quality of life. Enjoy a generous compensation and benefits package, including paid time off, sick leave, and dedicated wellness hours. Who is Mountain Family Health Centers? https://www.mountainfamily.org/careers-2/ What we have achieved: NCQA PATIENT CENTERED MEDICAL HOME TIER 1 MEDICAID PROVIDER HEALTH LINKS™ HEALTHY BUSINESS LEADER – 2026 HRSA NATIONAL QUALITY LEADER 2026 General Purpose The PRN Prior Authorization Assistant coordinates timely approval of high-cost brand-name medications for privately insured patients. This role manages the administrative prior authorization process from benefit verification and documentation collection through submission, follow-up, denial resolution, and communication of outcomes. The assistant also educates providers and nursing staff on documentation and workflow practices that can expedite payer decisions. As a cross-trained member of the medication support team, this position provides coverage for medication refill Assistants during prolonged absences or turnover and applies the organization’s medication refill guideline algorithm within the assistant's authorized scope. This role is remote but must meet remote work requirements to qualify. Job Qualifications: High school diploma or equivalent. At least one year of experience in a medical office, pharmacy, prior authorization, medication access, insurance verification, revenue cycle, or comparable healthcare support role. Current pharmacy technician certification or registration, if applicable to assigned duties and jurisdiction. Remote Work Requirements: This position is approved for remote work within the United States. Employees must maintain a reliable high-speed internet connection and a professional work environment free from distractions. The employee must be available during established business hours and attend virtual meetings as required. Occasional travel may be required for training, team meetings, or organizational events. Salary: $28.80 to $32.34/hourly; DOQ Benefits: Medical, Dental and Vision Insurance, 403B retirement plan with 3% matching after 1 year of employment, 7 Paid Holidays, 124 PTO hours within the first year, Access to Employee Assistance Program, Worksite Wellness Program and much more. Application Close Date: Until Filled MFHC is an Equal Opportunity Employer. We are committed to creating a workplace where all employees and applicants are treated with dignity and respect and have equal opportunities to succeed. We maintain a work environment free from discrimination, harassment, and retaliation and make employment decisions based on qualifications, merit, and business needs. We encourage individuals from diverse backgrounds and experiences to apply.