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Prior Authorization Representative
Job Description:
- Initial point of contact for Prior Authorization requests from members, providers, and diverse customer base
- Make determination if complex request should be transferred to a pharmacist for assistance
- Maintain complete, timely, and accurate documentation of all approvals and denials
- Proficiency pronouncing drug names and diagnosis and recognizing medical terminology
- Navigate multiple software systems to document conversations and outcomes
- Schedule flexibility including rotations through nights, weekends and holiday coverage
Requirements:
- 1 plus years' experience in customer service or call center environment
- Must be able to work from home
- Have high speed internet
- Previous experience in pharmacy or healthcare industry
- Associate's or Bachelor's Degree
- Pharmacy Technician License
- High School Diploma or equivalent GED
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
