Tech I – Prior Authorization Operations
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Tech I handling inbound calls related to prior authorizations for a health services company. Responsibilities include documentation, escalation, and customer service interactions.
Responsibilities:
- Takes in-bound calls from providers, pharmacies, members, etc.
- Provides professional and courteous phone assistance to all callers through the criteria-based prior authorization process.
- Maintains complete, timely, and accurate documentation of reviews.
- Transfers all clinical questions, escalations, and judgment calls to the pharmacist team.
- Assists with duties such as outbound calls, reviewing and processing Prior Auths received via fax and ePA, monitoring inquiries via department mailboxes.
Requirements:
- 1 years of prior work experience
- Associates Degree or Bachelors Degree preferred
- High School Diploma or equivalent GED
Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost wellness screenings
- Tobacco cessation and weight management programs
- Confidential counseling
- Financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Report this job
Job expired or something wrong with this job?
Similar Jobs
Ship Operations Manager – Radar, Naval Vessel
Ship Operations Manager performing Radar Engineering duties onboard the USNS Howard O. Lorenzen. Overseeing a team for radar operations, maintenance, and data analysis in the Pacific Command's AOR.
Operations Manager
Operations Manager at Courtyard.io managing operational processes across packaging, fulfillment, and inventory liquidation. Driving execution and collaboration in a fast-paced remote environment.
Director of Operations Strategy
Director of Operations Strategy leading inventory strategies and category expansion for Courtyard.io. Collaborating across Finance, Product, and Operations to drive data-informed decisions.
VP, Global MICE Operations
Vice President of Global MICE at ALTOUR, steering the company’s MICE division towards growth and integration across global markets. Responsible for delivering all events across the corporate division globally.
Marketing Strategy – Operations Intern
MBA Intern in Marketing Strategy & Operations at Risepoint, gaining exposure to strategy work and analysis to support educational access.
Senior Manager, Sales Operations
Senior Manager, Sales Operations driving operational excellence and sales effectiveness in Woolpert. Collaborating closely with Senior Director to enhance forecasting and pipeline governance.
Junior FinOps Analyst
Junior FinOps Analyst at DaCodes specializing in cloud financial operations and technology cost management. Working with teams to optimize resource management and drive financial responsibility.
Junior Operator – Renewable Energy Operations Center
Junior Operator remotely monitoring Solar PV and Battery Energy Storage Systems for Spark Power. Coordinating with technical staff and ensuring operational efficiency in energy production.
Operations Executive
Operations Executive responsible for managing product information and supporting operators on BeMyGuest's travel tech platform. Ensuring quality listings, handling inquiries, and assisting with system issues.
Operations Executive
Operations Executive supporting operators on BeMyGuest's platform, managing product information, and ensuring customer satisfaction through various support channels.
Digital Operations Assistant – Entry Level
Digital Operations Assistant focused on webinar preparation and marketing automation support in the real estate industry. Managing logistics and executing marketing campaigns for investor engagement.
Database Operations Engineer
DBOps Engineer ensuring the availability, reliability, scalability and security of enterprise databases across multi-cloud environments. Focusing on Infrastructure as Code (IaC) for databases and operational excellence.
Manager, Advisory Operations
Manager leading day-to-day operational execution for the Advisory practice at KSM. Overseeing engagement processes and supporting team development in a collaborative culture.
Regional Operations Manager
Regional Operations Manager leading field operations at Allegion Access Technologies. Driving growth, customer satisfaction, and team development across regional branches with leadership responsibilities.
Provider Operations Associate
Entry-level role supporting healthcare operations at Carrum Health. Collaborating with internal teams to ensure smooth operations for providers and patients.
Operations Manager, Medical Device
Operations Manager overseeing logistics and performance in the medical device sector. Leading teams across departments to ensure high service levels and operational excellence.
Senior Associate – Logistics, Live Operations, Parcel Strategy & Operations
Senior Associate for Live Operations at DoorDash, managing logistics operations across a national network. Collaborating with cross-functional teams to enhance efficiency and customer service.
Operations Assistant – Real Estate
Operations Assistant supporting real estate operations through administration, data handling, and AML checks. Entry-level position with training provided and working remotely in the Philippines.
Senior Manager, Commercial Operations
Senior Manager supporting Commercial Operations for MONARCH at Johnson & Johnson. Leading initiatives for sales reporting, forecasting, and analytics within MedTech.
Operations Director – Site Deployment
Operations Director at JLL overseeing data center transition and deployment operations. Leading strategic initiatives and multiple teams across various geographic regions.