Job Summary
A company is looking for a Prior Authorization Representative who will serve as the initial contact for authorization requests.
Key Responsibilities
- Process Prior Authorization requests from members and providers
- Determine if complex requests require pharmacist intervention
- Maintain accurate documentation of all approvals and denials
Required Qualifications
- 1+ years' experience in customer service or call center environment
- Ability to work from home with high-speed internet
- Proficiency in medical terminology and drug names
- Flexibility to work nights, weekends, and holidays
- Verifiable High School Diploma, GED, or equivalent
Comments