Prior Authorization Representative - Work from Home!

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BroadPath is excited to announce that we are hiring for work-at-home positions! Join our team and enjoy the flexibility of working from the comfort of your own home.

Prior Authorization Representatives will receive inbound phone calls and faxes from members, doctors' offices, or other departments requesting information on prescribed medications, their eligibility/coverage of these medications, and advise what medications are covered under the plan, if needed. The representatives will manage the prior authorization process for medications and provide updates on approval status.

Responsibilities

  • Verifying eligibility and coverage for prescribed medications
  • If medication is not covered, working with the caller to determine what medication can be covered and assist with building prior authorizations for these medications
  • Assisting Prior Authorization individuals with status updates on the authorizations and statuses of the request
  • Reviewing medication inquiries and contacting healthcare providers for follow-up information
  • Reviewing provider documentation and accurately interpreting and entering data into the database
  • Excellent communication (both verbal and written) and problem-solving skills
  • Ability to effectively multitask and possess excellent attention to detail
  • Self- motivated with the ability to work well independently and as part of a team with minimal direct supervision

Qualifications

  • 1+ years of healthcare, claims, or medical administrative work experience
  • 1+ years of recent continuous employment with previous employer (indicating stable work history)
  • 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
  • Ability to work with peers in a team effort and independently resolve issues
  • Demonstrated ability to manage multiple priorities and deadlines
  • Capability to efficiently complete tasks in a fast-paced environment
  • 100% attendance is required during training: No time off within the first 60 days of employment
  • Responsible for providing your own 19" monitor or larger with VGA or HDMI port with corresponding cable, USB wired mouse, ethernet cable, and optional USB wired keyboard
  • Reliable hardwired internet is a must with at least 25mbps download | 10mbps upload speeds

Preferred:

  • Candidates with prior experience in managing or processing medication prior authorizations are highly preferred

Diversity Statement

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath is an Equal Opportunity Employer

We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law

Job Types: Full-time, Contract

Pay: Up to $16.50 per hour

Benefits:

  • Health insurance

Work Location: Remote

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Common Interview Questions And Answers

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

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With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

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6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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