Prior Authorization Specialist - Remote

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