Prior Authorization Representative - Remote

CEF Solutions Inc.
Any Location, NC
Category Customer Service
Job Description
We are hiring Prior Authorization Representatives to work from home. The role involves receiving inbound phone calls and faxes from members, doctors' offices, or other departments requesting information on prescribed medications prior authorizations only. The representatives will manage the prior authorization process for medications and provide updates on approval status.

Requirements

  • 1+ years of healthcare, claims, or medical administrative work experience
  • 1+ years of recent continuous employment with previous employer
  • 2+ years of customer service or call center experience
  • Computer literate (Microsoft Windows, keyboarding skills, strong systems aptitude)
  • Medical and Healthcare terminology knowledge
  • Exceptional communication skills
  • Strong computer/data entry skills
  • High school diploma or equivalent
  • Proficiency in Microsoft Office and industry-related software programs

Benefits

  • Hourly rate of pay: $16/Training; $16.50 Production
  • 100% attendance is required during training: No time off within the first 60 days of employment
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