PA Tech I: Healthcare Prior Authorization & Support

SGS Consulting; Richardson (TX); On-site; USD 35,000 - 45,000; Full time

Job summary

A healthcare service provider in Richardson, Texas is seeking a Customer Service Representative with a focus on prior authorization processes. The candidate must have at least three years of experience in a customer service role, preferably in healthcare or social services. Responsibilities include handling inbound calls, maintaining documentation, and providing professional assistance to callers. A CPHT certification alongside a High School Diploma or GED is required for this position, which operates within a high-paced dedicated program.

Qualifications

• Minimum three years’ experience in a customer service position with high volume call center experience.
• Preferably in healthcare, social services, or a similar service position.
• Certification required for prior authorization role.

Responsibilities

• Assist with outbound calls and monitor/respond to inquiries.
• Handle inbound calls/fax requests with professionalism.
• Process information accurately as per requirements.
• Maintain documentation of approvals and denials.
• Analyze clinical algorithms and provide decisions on PA Requests.
• Deliver quality customer service to healthcare providers.

Skills

Customer service

High volume call handling

Confidentiality

Professional communication

Education

High School Diploma or GED

Three years customer service experience

CPHT certification

Job description

A healthcare service provider in Richardson, Texas is seeking a Customer Service Representative with a focus on prior authorization processes. The candidate must have at least three years of experience in a customer service role, preferably in healthcare or social services. Responsibilities include handling inbound calls, maintaining documentation, and providing professional assistance to callers. A CPHT certification alongside a High School Diploma or GED is required for this position, which operates within a high-paced dedicated program.