Job Summary
A health insurance company needs applicants for an opening for a Remote Healthcare Insurance Prior Authorization Representative I.
Must be able to:
- Process/reverse online claims to confirm authorization outcome
- Completes status check with insurance company regarding receipt and outcome of prior authorization
- Review prescription for accuracy of prescribed treatment regimen prior to submission of authorization
Must meet the following requirements for consideration:
- Specialty pharmacy experience
- HS diploma or GED and a minimum of 1 year of pharmacy prior authorizations or pharmacy billing experience
- Or any combination of education and experience which would provide an equivalent background