Prior Authorization Support Specialist (Non-Clinical) - Remote

Overview

The Prior Authorization Support Specialist will assist healthcare providers by managing prior authorization workflows, ensuring documentation is accurate and timely while communicating effectively with provider office staff.

In Short

• 100% remote position, must be in Eastern Standard Time.
• Support healthcare providers with prior authorization processes.
• Not a patient-facing role.
• Requires 5+ years of prior authorization experience.
• Must have experience in either hospital/clinic authorization or as a pharmacy technician.
• Strong documentation and communication skills are essential.
• Knowledge of HIPAA compliance is required.
• Training for the first 20 business days, then standard EST hours.
• Compensation ranges from $70k to $85k based on experience.
• Benefits include 401(k), insurance, remote stipend, and open PTO.

Requirements

• 5+ years of hands-on prior authorization experience.
• Direct experience in hospital/clinic central authorization or pharmacy technician role.
• Understanding of medical and pharmacy benefit PA workflows.
• Experience navigating PBM requirements.
• Proven communication skills with provider offices.
• Strong documentation discipline.
• HIPAA compliance knowledge.
• Must reside in the Eastern Time Zone.

Benefits

• 401(k) with matching.
• Various insurance options, including HSA.
• Remote work flexibility.
• Open PTO policy.
• Yearly education budget.
• Inclusive and diverse work environment.
• Opportunity to impact healthcare positively.
• Work with a supportive team.
• Participation in the E-Verify program.
• Drug-free workplace commitment.