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Prior Authorization/Insurance Verification Specialist
Offer summary
Qualifications:
Minimum 1 year of customer service experience in a high volume call center, preferably in healthcare or social services., Verifiable High School diploma or GED is required., Pharmacy Technician certification is preferred but not mandatory., Strong communication skills for professional phone assistance..Key responsabilities:
- Handle incoming calls from members and providers regarding prior authorization processes.
- Provide professional assistance and maintain accurate documentation of approvals and denials.
- Transfer clinical questions and judgment calls to the pharmacist as needed.
- Ensure timely and complete processing of prior authorization requests.
Job description
Prior Authorization/Insurance Verification Specialist
Location: Remote
Duration: 12 months
Description:
Duties:
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process.
Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Experience:
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
The Pharmacy Technician certification is preferred but not required at a State or National level.
Education: Verifiable High School diploma or GED is required.
Location: Remote
Duration: 12 months
Description:
Duties:
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process.
Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Experience:
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
The Pharmacy Technician certification is preferred but not required at a State or National level.
Education: Verifiable High School diploma or GED is required.
Required profile
Experience
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory. Other Skills
- Customer Service
- Professionalism
- Communication
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