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 Mgarrett@alinestaffing.com 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

Mgarrett@alinestaffing.com or 586-422-1209

Apply Job!