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!