Prior Authorization Representative - (Fully Remote) - A-Line Staffing Solutions

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 atMgarrett@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

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