5h ago

Prior Authorization Specialist

Remote

$39.5k-$45.8k / year

full-time Remotehealthcare

💼 About This Role

You'll handle pharmacy prior authorizations for a health-tech startup. Your work ensures patients get medications on time, improving medication adherence. You'll collaborate with providers to troubleshoot submissions and navigate insurance appeals.

🎯 What You'll Do

  • Verify patient insurance coverage via phone or online resources
  • Submit prior authorizations to insurance plans via electronic portal
  • Troubleshoot prior authorization and prescription processing with providers
  • Document activities in process notes using the operating system

📋 Requirements

  • Prior authorization or medical insurance billing experience
  • Reliable high-speed internet for remote processing
  • Ability to navigate multiple systems and vendor portals
  • Flexibility to work in office as required

✨ Nice to Have

  • Working knowledge of ICD-10 codes
  • Prescription drug names familiarity
  • Customer service experience

🎁 Benefits & Perks

  • 🚀 Ground floor opportunity at fast-growing health-tech startup
  • 🏠 Fully remote work environment
  • 💡 Solve a meaningful problem in healthcare access
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