Job Description

A-LINE STAFFING IS NOW HIRING REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE IN WFH / REMOTE. The Remote Medicare Part D Prior Authorization Representative would be working for a Fortune 500 company and has career growth potential. This would be FULL TIME / 40+ HOURS PER WEEK.

IF YOU ARE INTERESTED IN THIS REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE POSITION, PLEASE CONTACT LINDSAY KOPASZ AT 5867107959/LKOPASZ@ALINESTAFFING.COM

REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE COMPENSATION

• The pay for this position is $17.50 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE HIGHLIGHTS

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is Mon-Fri 7:00-20:00 CST, Sat 10:00-14:00 CST

REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE RESPONSIBILITIES

• Training and working virtually
• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity, and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE REQUIREMENTS

• 1+ year of experience with prior authorizations, prior auth, medical reimbursement, health insurance
• High School Diploma or GED
• Attendance is mandatory for the first 90 days

REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE PREFERRED QUALIFICATIONS

• Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing.
• Ability to work in a fast paced environment, handling both inbound and outbound calls.
• Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines.
• Good communication skills are essential, both internal and external.
• Knowledge of Medicare benefits, enrollments and LIS assistance.
• Plans and organizes work assignments, set priorities and completes work with a minimum of supervision

If you think this REMOTE MEDICARE PART D PRIOR AUTHORIZATION REPRESENTATIVE position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

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