Prior Authorization Representative

Job Summary

Providing professional phone support, the full-time Prior Authorization Representative will manage high-volume inbound calls, maintain accurate documentation, and process Prior Authorization requests in a remote environment.

Key responsibilities

• Handle inbound and outbound calls related to the Prior Authorization process
• Maintain complete and timely documentation of reviews and requests
• Transfer clinical questions and escalations to the pharmacist team as needed

Required qualifications

• High School Diploma or equivalent
• 1-3 years of experience in Prior Authorization, data entry, or customer service
• Proficiency in Microsoft Excel and Word
• Basic understanding of pharmacy and medical terminology
• Ability to work in a high-pressure, time-sensitive environment