Match score not available

Prior Authorization / Insurance Verification Specialist

Remote: 
Full Remote
Experience: 
Junior (1-2 years)
Work from: 

Offer summary

Qualifications:

Minimum 1 year customer service experience in high volume call center, Preferably healthcare, social services, or similar service position, High School diploma/GED required.

Key responsabilities:

  • Provide professional phone assistance through prior authorization process
  • Maintain accurate documentation of approvals and denials
  • Transfer clinical questions to pharmacist
ICONMA logo
ICONMA Human Resources, Staffing & Recruiting Large https://www.iconma.com/
1001 - 5000 Employees
See more ICONMA offers

Job description

  • Receive in-coming calls from members, providers, etc and provide professional phone assistance to all callers through the criteria based prior authorization process.
  • Maintain complete, timely and accurate documentation of all approvals and denials, and transfer all clinical questions and judgment calls to the pharmacist.
Requirements
  • Minimum (1) year experience in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position.
  • The Pharmacy Technician certification is preferred but not required at a State or National level.
  • Verifiable High School diploma or GED is required.



As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

#alljobs

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Insurance Investigator Related jobs