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