Prior Auth Support Specialist (Non-Clinical)

The brainchild of David Ricks, CEO of Lilly, and incubated by Boston Consulting Group’s Digital Ventures, PrescriberPoint is a Series A healthtech whose mission is to help Health Care Professionals reduce the time, tension, and anxieties they and their patients encounter during the prescribing process. We are funded to date by Lilly, Pfizer, Adobe, and MasterCard.

We are looking for a rare but specific professional who lives and breathes prior authorization workflows and is comfortable both initiating contact with HCPs and then educating and supporting our prior auth solutions. . You come from one of two backgrounds:

This position exists to support Healthcare Providers (HCPs) and their office staff — not patients directly. You will work with provider office teams, referral coordinators, and authorization staff to move PA workflows forward on the provider side. 

• 5+ years of hands-on prior authorization experience — beyond general call center or data entry work
• Direct experience in either a hospital/clinic central authorization function OR pharmacy technician role with dedicated PA and insurance specialization
• Demonstrated understanding of both medical and pharmacy benefit PA workflows at the documentation and execution level
• Experience navigating PBM requirements including coverage criteria, benefit verification, and authorization documentation standards
• Proven ability to communicate with provider offices via phone and email — navigating gatekeepers, call trees, and office workflows to move documentation forward
• Strong documentation discipline: accurate, timely case tracking with notes, outcomes, timestamps, and next steps
• HIPAA compliance knowledge and scope discipline
• Health tech support and CRM experience are highly valued
• Eastern Time Zone (non-negotiable)

This role supports provider offices, internal operations, and clinical teams by driving the execution layer of prior authorization and referral workflows. The focus is purely operational: documentation requirements, follow-up, routing, and closing loops so work progresses without delay. This role is for someone who can ramp into complex workflows, manage multiple active workstreams, and deliver consistent outcomes with minimal oversight.

• →Execute PA and referral workflows end-to-end: documentation follow-up, routing, and loop closure with provider offices
• →Drive work forward by identifying next steps, obtaining missing information, and preventing case stalls
• →Communicate clearly and professionally with provider office staff via phone and email
• →Support clinical teams by reducing administrative burden — gather missing documentation, route questions appropriately
• →Maintain accurate, timely documentation in HubSpot and operational tracking tools
• →Identify recurring friction points and contribute actionable feedback to strengthen SOPs
• →Operate strictly within scope — workflow, documentation, process, and follow-up only

• →We have a really good shot at improving the millions of lives and careers of HCPs, Patients, and their families (even pets!)
• →We hire adults with a Trust-first/It's All Life philosophy
• →We have some great benefits for a firm at our stage: 401(k) w/matching, all kinds of insurance (including matching HSA and pets!), commute from your kitchen, Open PTO (which leaders use!), remote stipend, yearly education budget, and working with some of the smartest yet humblest and respectful people in the business
• →We’re (objectively) way better looking than our competitors  :-)  

• Operating independently in core PA and referral workflows with minimal direction
• Consistently identifying next steps, removing blockers, and preventing case stalls
• Clean, timely documentation in HubSpot so activity is easy to follow and report
• Effective provider office communication — navigating gatekeepers and workflows to move cases forward
• Appropriate escalation with full context so clinical teams can act efficiently
• Contributing process feedback that strengthens SOPs and reduces recurring friction

• High school diploma or GED required
• PTCB/CPhT strongly preferred

PrescriberPoint is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a qualified individual with a disability, veteran status, or other legally protected characteristics.