Job Description
Pre Authorization Specialist
virginia beach, virginia(remote)
$15 – $16 per hour
temporary
high school
category healthcare support occupations
reference AB_4435469
Job details
Are you looking for the next steps in your Healthcare career? Take that first one by applying to be a Pre Authorization Specialist. If you have a positive, professional demeanor and understand the importance of making and keeping loyal patients happy, this opportunity is perfect for you! The ideal candidate has previous experience in a call center setting, managing claims, and managing preauthorizations.
This position is remote but applicants must be local to the Virginia Beach area.
- salary: $15 – $16 per hour
- shift: First
- work hours: 9 AM – 6 PM
- education: High School
Responsibilities
- The pre auth specilaist responsible for supporting the Pharmacy Department’s day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial).
- At a minimum, the PAS provides knowledgeable and courteous customer service and response to members and providers.
- This position handles member/provider requests/inquiries regarding pharmacy benefits, prior authorizations, or claim resolution.
- 1 year of Managed Care, Health Plan or PBM experience preferred.
- 1 year of Pharmacy Call Center or Authorization experience preferred.
Skills
- Verbal Communication
- Claims Processing
- HIPAA
- Written Communication
- Confidentiality
- Basic Software Skills
- Medicare Compliance
Qualifications
- Years of experience: 1 year
- Experience level: Experienced