[New Job Opening] Prior Authorization Representative # job Vacancy in Remote


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Position Name :
Prior Authorization Representative #
Job ID :
Description : *Intake Agent Description: Prove IT required for ALL submittals+++COMPUTER SKILLS+++The Intake Agent – Prior Authorization is responsible for the efficient, accurate and timely prioritization and management of work. Provides support to the Prior Authorization Department in meeting client expectations regarding efficiency, service levels, privacy maintenance and quality of decision-making. Responsible for maintaining compliance with ERISA, CMS, and client specific requirements. Works as part of the team to meet business unit objectives. This position is also responsible for receiving calls from physician offices and providing professional and courteous assistance to all callers through the criteria-based process. The Intake Agent will follow criteria question set prompts to facilitate system-generated approvals. Further responsibilities include maintaining complete, timely, and accurate documentation of all requests, communicating to the physician’s office, pharmacies, intake etc. as needed, and transfers all clinical questions and judgement calls to the Pharmacy Technician or Clinical Pharmacist as needed. The Intake Agent will also assist with other duties such as outbound calls, monitoring/responding to inquiries in mailboxes and other duties as assigned by the leadership team. The Intake Agent will support requirements of the PA team by working as part of a weekend coverage team on a rotating basis where needed.DutiesCustomer service focus. Basic experience in MSWord and MS Excel. Familiar with medical terminology and knowledge of medical coding. Ability to read and interpret billing documents. The position also requires an extensive amount of data entry work.What days & hours will the person work in this position?Normal Hours: Mon-Fri 7AM-8:30PM CST.Training hours: Mon-Fri 8AM-4:30PM CST for 4 weeks.Job Type: Full-timePay: $19.28 – $20.28 per hourSchedule:8 hour shiftMonday to FridayEducation:High school or equivalent (Preferred)Experience:Insurance verification: 1 year (Preferred)Medical billing: 1 year (Preferred)Medicare: 1 year (Preferred)Medical coding: 1 year (Preferred)Data entry: 1 year (Preferred)Work Location: Remote
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