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Prior Authorization Specialist - Remote

Posted 19 weeks ago
Customer Service
Full Time
AZ, USA

Overview

PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts.

In Short

  • Verifies patient insurance coverage utilizing phone or online resources
  • Submits prior authorizations to insurance plans in a timely manner via electronic portal
  • Troubleshoots prior authorization submissions and prescription processing with health care providers
  • Verbally assists providers in navigating appeals processing
  • Ensures all pertinent medical documentation is accurate and present prior to authorization submission
  • Compiles trends in authorization determinations for client and prescriber education
  • Documents activities appropriately in process notes using our operating system
  • Works closely with our Customer Support team to ensure the success of patients

Requirements

  • Proven team player, but can solve problems independently
  • Exceptional written and verbal communication skills
  • Easily adapt to new system and workflow changes
  • Experience working in prior authorizations, medical insurance billing, and/or health insurance
  • Working knowledge of ICD-10 codes and prescription drug names is preferred
  • Ability to navigate between multiple systems throughout the workday
  • Demonstrate flexibility to perform duties wherever volume deems it necessary
  • Customer service experience is preferred
  • Access to reliable, high-speed internet for remote processing
  • Reliable transportation and ability to work in office as required

Benefits

  • Ground floor opportunity with one of the fastest-growing startups in health-tech
  • Be part of a company that uniquely leverages technology to bring wellness to all stakeholders
  • Full benefits (medical, dental, vision)
  • 401(k) contribution opportunity
Phil logo

Phil

PHIL is a San Francisco-based health-tech startup founded in 2015, focused on enhancing the accessibility of specialty pharmaceutical prescriptions for patients. With a mission to provide consistent, reliable, and affordable access to prescribed medicines, PHIL partners with pharmaceutical manufacturers to deliver digital patient access services that improve health outcomes across the U.S. The company, which is headquartered in Scottsdale, AZ, operates with a team of over 120 individuals and is poised for significant growth in the coming year. PHIL is dedicated to creating an innovative healthcare platform that prioritizes the experiences of prescribers and patients alike.

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