Medical Prior Authorization Representative
Medical Prior Authorization Representative
Position: Medical Prior Authorization Representative (Temp to hire...
Pay: $17.50 per Hour
Location: Fully Remote
Start Date: 11/18
Shifts: You will be assigned shifts within the hours of 7 AM - 8 PM CST, M-F. You will be scheduled for an 8-hour shift within these hours.
This is a temp to hire role and a good way to get your foot in the door with an industry leader. You will be handling inbound calls from providers, members, pharmacies, etc. through the criteria based prior authorization process as well has conducting outbound calls. You will be assisting with Medicare Appeals processing as well. Your resume must show Prior Authorization and/or appeals to be considered. You must be comfortable on the phone; this is a high call volume position. Experience with Medicare D preferred.
Training Hours:
8-week training period
Monday to Friday, 8 AM - 4:30 PM CST
No time off allowed during training. Any vacations or time off must be discussed during the initial phone screen.
Responsibilities:
Utilize multiple software systems to complete Medicare appeals case reviews
Verifying insurance benefits
Checking medication orders
Convey resolution to beneficiaries or providers via direct communication and professional correspondence
Process appeals
Acquire and maintain basic knowledge of relevant and changing Med D guidance
Meet or exceed government-mandated timelines
Comply with turnaround time, productivity, and quality standards
Ability to work in a fast paced environment
Requirements:
High School Diploma or GED required
Minimum of 1 year prior authorization and/or appeals experience (must be clearly listed on resume)
Minimum of 1 year call center experience
6 months of prior remote experience strongly preferred
Must be able to pass background and drug screen if selected for employment
Must be organized and detail-oriented
Our Mission:
Choice One Staffing Group offers our employees assistance in finding the best positions for their skills, talents, and experience. Its simple. At Choice One Staffing Group, People are our PURPOSE and YOUR success is OUR success!
Try us! Youll find we focus on providing a positive candidate experience from your first contact through the completion of your first assignment and every assignment.
Employee Benefits:
We offer medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation.
Specialized Staffing:
We specialize in Administrative, Light Industrial, Technical, Medical and Hospitality
EEO Policy:
Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.
Job Types: Full-time, Contract
Pay: $17.50 per hour
Benefits:
Health insurance
Experience:
prior authorization: 1 year (Required)
call center: 1 year (Required)
Medicare appeals: 1 year (Preferred)
Work Location: Remote
Apply Now
Position: Medical Prior Authorization Representative (Temp to hire...
Pay: $17.50 per Hour
Location: Fully Remote
Start Date: 11/18
Shifts: You will be assigned shifts within the hours of 7 AM - 8 PM CST, M-F. You will be scheduled for an 8-hour shift within these hours.
This is a temp to hire role and a good way to get your foot in the door with an industry leader. You will be handling inbound calls from providers, members, pharmacies, etc. through the criteria based prior authorization process as well has conducting outbound calls. You will be assisting with Medicare Appeals processing as well. Your resume must show Prior Authorization and/or appeals to be considered. You must be comfortable on the phone; this is a high call volume position. Experience with Medicare D preferred.
Training Hours:
8-week training period
Monday to Friday, 8 AM - 4:30 PM CST
No time off allowed during training. Any vacations or time off must be discussed during the initial phone screen.
Responsibilities:
Utilize multiple software systems to complete Medicare appeals case reviews
Verifying insurance benefits
Checking medication orders
Convey resolution to beneficiaries or providers via direct communication and professional correspondence
Process appeals
Acquire and maintain basic knowledge of relevant and changing Med D guidance
Meet or exceed government-mandated timelines
Comply with turnaround time, productivity, and quality standards
Ability to work in a fast paced environment
Requirements:
High School Diploma or GED required
Minimum of 1 year prior authorization and/or appeals experience (must be clearly listed on resume)
Minimum of 1 year call center experience
6 months of prior remote experience strongly preferred
Must be able to pass background and drug screen if selected for employment
Must be organized and detail-oriented
Our Mission:
Choice One Staffing Group offers our employees assistance in finding the best positions for their skills, talents, and experience. Its simple. At Choice One Staffing Group, People are our PURPOSE and YOUR success is OUR success!
Try us! Youll find we focus on providing a positive candidate experience from your first contact through the completion of your first assignment and every assignment.
Employee Benefits:
We offer medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation.
Specialized Staffing:
We specialize in Administrative, Light Industrial, Technical, Medical and Hospitality
EEO Policy:
Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.
Job Types: Full-time, Contract
Pay: $17.50 per hour
Benefits:
Health insurance
Experience:
prior authorization: 1 year (Required)
call center: 1 year (Required)
Medicare appeals: 1 year (Preferred)
Work Location: Remote
Apply Now