Remote Prior Authorization Specialist - Work from Home with a Fortune 500 Pharmaceutical Client ($17/hr, Full-time)

Join Our Team: Make a Difference in Patient Care as a Remote Prior Authorization Specialist

Are you a detail-oriented and organized individual looking for a remote work-from-home opportunity with a reputable company? Do you have experience in medical benefits and a passion for ensuring patients receive the care they need? Our Fortune 500 Pharmaceutical Client is seeking a skilled Remote Prior Authorization Specialist to join their healthcare team, and we invite you to apply for this exciting opportunity.

About Our Company and Client

Workwarp, in partnership with RemX (the professional staffing division of EmployBridge), is connecting talented professionals with leading companies in the industry. EmployBridge is America's Leading Workforce Specialist, dedicated to making the right match between candidates and companies for long-term success. Our client, a Fortune 500 Pharmaceutical company, is committed to improving patient outcomes and is seeking a skilled Prior Authorization Specialist to support their mission.

Key Responsibilities

As a Remote Prior Authorization Specialist, you will play a critical role in ensuring that patients receive the necessary care and treatments. Your primary responsibilities will include:

• Submitting and tracking prior authorization requests via inbound and outbound calls, ensuring timely and accurate processing.
• Verifying patients' medical insurance eligibility and coverage, staying up-to-date with changing insurance policies and regulations.
• Communicating effectively with healthcare providers and insurance companies to resolve any issues and ensure compliance.
• Maintaining accurate and detailed records of approvals and denials, providing insights to improve the prior authorization process.

Essential Qualifications and Skills

To be successful in this role, you must have:

• At least 1 year of experience in medical benefits (prior authorization, insurance verification, or related field).
• Knowledge of medical terminology and insurance policies, with the ability to stay current with industry developments.
• Strong organizational and multitasking skills, with the ability to manage multiple priorities and deadlines.
• Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare providers, insurance companies, and internal stakeholders.

Preferred qualifications include:

• Call center experience, with a background in handling high-volume calls and resolving customer inquiries.
• Experience in the healthcare or insurance industry, with a deep understanding of the complexities and nuances of prior authorization processes.

What We Offer

As a Remote Prior Authorization Specialist with our client, you will enjoy:

• A competitive hourly rate of $17/hr, with full-time weekly pay and benefits.
• A flexible schedule: 8am-8pm CST, Monday to Friday (8-hour shift between these hours).
• Equipment provided, ensuring you have the necessary tools to perform your job effectively.
• Opportunities for career growth and professional development within a leading pharmaceutical company.
• A dynamic and supportive work environment, with a team dedicated to making a difference in patient care.

Work Environment and Company Culture

As a remote worker, you will be part of a distributed team that values collaboration, innovation, and work-life balance. Our client is committed to fostering a culture of inclusivity, diversity, and respect, where everyone can thrive and contribute their best work.

Compensation, Perks, and Benefits

We offer a comprehensive compensation package that includes a competitive salary, benefits, and opportunities for growth and development. As a valued member of our team, you will also enjoy a range of perks, including:

• Flexible working hours and remote work arrangements.
• Ongoing training and professional development opportunities.
• A collaborative and dynamic work environment.

Why Apply?

If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. As a Remote Prior Authorization Specialist, you will play a critical role in ensuring that patients receive the care they need, and you will be part of a team that is dedicated to making a positive impact.

Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today, including an up-to-date resume, and let's discuss how you can contribute to our client's mission.

How to Apply

To be considered for this role, please email your resume to [email protected], referencing ($17/Hr. Prior Authorization Specialist) in the subject line. We look forward to hearing from you!

RemX is an equal opportunity employer, committed to evaluating qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.