$15 - $16 Hour
Monday to Friday
Day shift
10 hour shift
Health insurance
Employee discount
Dental insurance
Vision insurance
401(k) matching
Others
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.
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
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Verbal Communication
Claims Processing
HIPAA
Written Communication
Confidentiality
Basic Software Skills
Medicare Compliance
Under 1 Year
Service industry
On going position
Remote