Prior Authorization Representative - (Fully Remote)

A-Line is now hiring a Prior Authorization Representative - (Fully Remote). Prior Authorization Representative - (Fully Remote) would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Prior Authorization Representative position, please contact Mia Garrett at [email protected] or... 586-422-1209.

Prior Authorization Representative Compensation
?? The pay for this position is $17.50 per hour
?? Benefits are available to full-time employees after 90 days of employment
?? A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Prior Authorization Representative Highlights
?? Customer service focus.
?? Class with set start date
?? Fully remote (never coming onsite)
?? Training hours 8:00a ?? 4:30p CT
?? Varying shifts from 7:00a ?? 8:00p CT

Prior Authorization Representative Responsibilities
?? The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
?? Effectively manage work volume by handling inbound/outbound calls/fax/EPA requests utilizing appropriate courteous and professional behavior based upon established standards.
?? Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers
?? Communication with other internal groups regarding determination status and results (seniors, pharmacists, appeals, etc).
?? Identify and elevate clinical inquiries to the pharmacist team as appropriate.

Prior Authorization Representative Requirements
?? Computer experience is required with proficiency in Microsoft Outlook, Word and Excel.
?? Basic alpha number data entry skills with attention to accuracy and quality is essential
?? Intermediate math skills are required with attention to detail and quality essential
?? Must have effective and empathetic communication style in managing inbound calls and communications with clients and team members.
?? Effective organizational skills and ability to prioritize a fluctuating workload and competing priorities is essential.

Prior Authorization Representative Preferred Qualifications
?? High School Diploma or GED
?? 0-3 years in a customer service or call center environment managing 75 calls/day.
?? Experience in a health care setting or insurance industry is a plus, including knowledge of basic insurance and third party terms and medical terminology

If you think this Prior Authorization Representative position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

Mia Garrett ?? Recruiting Assistant

[email protected] or 586-422-1209

Apply Job!