A-Line Staffing is now hiring a Remote Prior Authorization Representative in Woonsocket, RI. The Remote Prior Authorization Representative would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Remote Prior Authorization Representative position, please contact Austin Faris at 586-710-7941 or afaris@alinestaffing.com

Remote Prior Authorization Representative Compensation

• The pay for this position is $17.50 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Remote Prior Authorization Representative Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is M-F 7:00 AM-8:00 PM CST. Training hours are M-F 8:00 AM - 4:30 PM CST

Remote Prior Authorization Representative Responsibilities

• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Plans and organizes work assignments, set priorities and completes work with a minimum of supervision
• Participates in cross-training to perform all roles within the department

Remote Prior Authorization Representative Requirements

• High School Diploma
• Attendance is mandatory for the first 90 days
• Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing
• Ability to work in a fast paced environment, handling both inbound and outbound calls
• Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines
• Typing speed of 30 WPM

Remote Prior Authorization Representative Preferred Qualifications

• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of working in a virtual role where the supervisor is not physically in the same space
• Six months of PBM/pharmaceutical related work strongly desired

If you think this Remote Prior Authorization Representative position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!