Prior Authorization Specialist

This is a fully remote position, open to applicants in Arizona, +25 more states.

📋 Description

• Verifies patient insurance coverage using both phone and online resources.

• Submits prior authorizations to insurance providers promptly through an electronic portal.

• Addresses issues with prior authorization submissions and prescription processing by collaborating with health care providers via phone or online channels.

• Provides verbal assistance to providers in navigating the appeals process.

• Ensures that all relevant medical documentation is accurate and available before submitting for authorization.

• Gathers trends in authorization decisions for the education of clients and prescribers.

• Accurately documents activities in process notes using our operational system.

• Collaborates closely with our Customer Support team to guarantee the success of patients referred to us by their physicians.

⛳️ Requirements

• Proven ability to work as a team player while also being capable of independent problem-solving.

• Excellent written and verbal communication skills.

• Ability to quickly adapt to changes in systems and workflow.

• Demonstrated experience in prior authorizations, medical insurance billing, and/or health insurance (required).

• Familiarity with ICD-10 codes and prescription drug names is preferred, but not mandatory.

• Capability to effectively navigate various systems throughout the workday, including operational software and vendor portals.

• Flexibility to carry out duties as needed based on volume demands.

• Previous customer service experience is preferred.

• Access to reliable, high-speed internet for remote processing is required.

• Reliable transportation and willingness to work in the office as needed.

🏝️ Benefits

• Opportunity to join a rapidly growing startup in the health-tech industry.

• Fully remote work environment available in multiple states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV.

• Contribute to a meaningful cause: be part of a company that uniquely utilizes technology to enhance wellness for all stakeholders.