Job Summary
A company is looking for a Licensed Practical/Vocational Nurse - Prior Authorization Specialist (Remote).
Key Responsibilities
- Process and communicate Specialty medication prior authorization referrals for Pharmacy and Medical benefits
- Manage inbound phone calls, process cases, load authorizations, and conduct follow-up calls
- Maintain accurate documentation and perform data entry and reporting in computer systems
Required Qualifications
- Licensed Practical Nurse license or eligibility to sit for the Practical Nurse Licensure Examination
- Prior authorization experience in a Managed Care Organization (MDO) or clinical setting
- Proficient in Microsoft Office products
- High School Diploma or GED
- Mandatory attendance for the first 90 days of employment
Comments