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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