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Prior Authorization

Prior Authorization

Dealing with prior authorizations can be one of the most time-consuming parts of running a pharmacy.

At PharmaStaff, we specialize in handling the entire prior authorization process on your behalf, so your team can stay focused on patient care. From gathering clinical documentation to submitting requests and following up with providers and insurance companies—we take care of it all.

Our experienced staff understands payer requirements and knows how to reduce delays in medication access.

Mia

3 years exp.

Typical salary

$478/weekly

Everything included, no hidden fees

Eugene

3 years exp.

Typical salary

$478/weekly

Everything included, no hidden fees

Jennifer

1 years exp.

Typical salary

$378/weekly

Everything included, no hidden fees

Liam

1 years exp.

Typical salary

$378/weekly

Everything included, no hidden fees

Sophia

2 years exp.

Typical salary

$445/weekly

Everything included, no hidden fees

Oliver

3 years exp.

Typical salary

$478/weekly

Everything included, no hidden fees

Charlotte

2 years exp.

Typical salary

$445/weekly

Everything included, no hidden fees

Noah

2 years exp.

Typical salary

$445/weekly

Everything included, no hidden fees

We work directly within your systems and use platforms like CoverMyMeds or provider portals to streamline submissions.

We already work with:

Our goal is to reduce denials and accelerate approvals for the medications your patients need.

Whether you're handling a few cases a week or managing high-volume requests, we scale to meet your workflow.

Let PharmaStaff eliminate the bottleneck of prior authorizations and give your pharmacy back valuable time. Because getting patients the medications they need—on time—shouldn’t be a struggle.

Steps of work

4 simple steps to optimize your pharmacy's performance

step 1

Discovery & Onboarding

We take time to understand your operations, goals, and workflow. This helps us tailor a staffing approach that fits your needs.

step 2

Role & Criteria Alignment

We define your ideal candidate based on experience, language skills, and PMS knowledge. This ensures we align with your expectations from the start.

Enjoy outsourcing benefits today

step 3

Targeted Talent Search

We search our vetted talent pool to find qualified candidates. Each candidate is pre-screened to match your specific criteria.

step 4

Integration & Ongoing Support

We handle onboarding to ensure a smooth start. Our team provides continuous support to maintain quality and performance.

Pharmacies that are already working with us:

"PharmaStaff’s attention to detail in compliance has given us peace of mind. Their process is seamless, and the talent we’ve received has been outstanding."

Enexia Pharmacy Group

“Lucy works better than some people here in our pharmacy to be honest.”

Enexia Pharmacy Group

Get qualified candidates For every task

We can provide outsourcing services to handle incoming calls, conduct market research, update databases, and any other tasks you require.

Prescription Entry & Refill

Working with existing and new patients to ensure there are no prescription queues at pharmacy.

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Insurance Verification

Clarification with patients, doctor’s office and insurances. Handling OTC medications.

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Copayment and Payroll management

Transactions processing, managing data accuracy and managing payroll processes.

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Communication with Insurance & Doctor Offices

Ongoing communication for insurance verification, prior authorization, alternatives and approvals. Cold sales calling.

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Communication with Patients

Ongoing communication, confirmation handling, information verification with existing patienrs and cold sales outreach for new patients.

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HIPPA Compliance and SOC2 Certification

PharmaStaff is a HIPPA compliant and SOC2 certified outsourcing service provider. We work narrowly with healthcare service providers and pharmacies, and protected health information

PharmaStaff adheres to the strict standards set by HIPAA regulations for managing PHI, implementing robust safeguards to prevent unauthorized access and misuse of sensitive data.

PharmaStaff complies with SOC 2 by implementing robust controls aligned with the Trust Services Criteria—security, availability, confidentiality, processing integrity, and privacy—to protect sensitive data and ensure operational reliability.

Discover How We Can Streamline Your Business

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