Prior Authorization Specialist

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona, California, +24 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

💵 $19 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Phil, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🧬 Biotechnology

Healthcare Insurance • SaaS • Biotechnology

Phil, Inc. is a company on a mission to simplify medication access for patients by helping them receive their medications quickly, easily, and affordably. The company offers the PhilRx Digital Hub Platform, which streamlines medication access for patients and providers, supporting retail and specialty-lite manufacturers. Phil, Inc. 's platform is designed to improve health outcomes by removing barriers and ensuring efficient medication dispensing, optimizing coverage and patient adherence, and supporting healthcare providers. Through strategic partnerships, Phil, Inc. helps maximize the value of access programs for life sciences brands, enhancing patient access and provider engagement.

📋 Description

• Verifies patient insurance coverage utilizing phone or online resources • Submit prior authorizations to insurance plans in a timely manner via electronic portal • Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources • Verbally assist providers in navigating appeals processing • Ensures all pertinent medical documentation is accurate and present prior to authorization submission • Compiles trends in authorization determinations for client and prescriber education • Document activities appropriately in process notes using our operating system • Work closely with our Customer Support team to ensure the success of patients that are recommended to us by their physician's office

🎯 Requirements

• Proven team player, but can solve problems independently as well • Exceptional written and verbal communication skills • Easily adapt to new system and workflow changes • Demonstrate experience working in prior authorizations, medical insurance billing, and/or health insurance (required) • Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required) • Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals • Demonstrate flexibility to perform duties wherever volume deems it necessary • Customer service experience (preferred) • Access to reliable, high-speed internet to meet the needs of remote processing (required) • Reliable transportation and ability to work in office as required

🏖️ Benefits

• Ground floor opportunity with one of the fastest-growing startups in health-tech • Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV • Solve a problem that matters: be part of a company that uniquely leverages technology to bring wellness to all of its stakeholders