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Healthcare Call Center Representative

3 months ago

Louisville, Kentucky, United States A-Line Staffing Solutions Full time
Exciting Opportunity as a PRIOR AUTHORIZATION REPRESENTATIVE at XYZ Company

ROLE OVERVIEW:

  • Respond to incoming calls from various stakeholders such as providers and pharmacies, guiding them through the prior authorization process with professionalism and courtesy.
  • Ensure accurate and timely documentation of authorization reviews.
  • Escalate clinical inquiries and decisions to the pharmacist team.
  • Additional responsibilities include making outbound calls, processing incoming authorizations, and monitoring department communication channels.

KEY HIGHLIGHTS:

  • Flexible Work Schedule: Monday to Friday, 8-hour shifts between 7:00 AM to 8:00 PM CST.
  • 100% Remote Position - Open to Candidates Nationwide (excluding select states).
  • Starting Remuneration: Competitive hourly rate of $17.50, paid every two weeks.
  • Comprehensive Benefits: Health, dental, optical, life, and short-term disability insurance available after 90 days of full-time employment.
  • 401(k) Retirement Plan: Company match option for eligible employees after 1 year of service.

REQUIREMENTS:

  • Minimum of a high school diploma or GED.
  • Prior experience in a call center environment within a health plan or specialty pharmacy is a must.
  • Familiarity with Medicare Part D operations in a call center is advantageous.
  • Proficiency in computer usage and data entry.

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