Prior Authorization Representative

Job description

Locations: Onsite - Gainesville, GA OR Miramar, FL Schedule: Full-Time, Monday – Friday: Pay Rate: $19.00/Hour: ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following: documentation. Authorization (PA) department. based on provided documentation. departments. - Manage incoming and outgoing calls, documenting all calls in the dedicated application for call - Handle letters from/to pharmacies, physicians, and healthcare providers in support of the Prior - Analyze clinical PAs using the provided clinical protocols, and provide regarding PA requests - Clarify any questions or concerns received from clients and/or internal departments. - Assists with inquiries related to pre-authorizations referred by the account managers or other - Use online databases to document recommendations, clinical decisions, and responses. - Deliver high-quality customer service in a fast-paced, dedicated PA program. - Provide support on training new employees. - Participate in training, conferences, orientations, and other activities related to your business unit. - Must have a flexible work schedule to meet changing department needs. QUALIFICATIONS AND REQUIREMENTS: phone calls an...