Remote Authorization Specialist

Vital Care; United States; Remote; USD 26,000 - 32,000; Full time

Benefits offered by this job

Medical, dental, vision plans

Paid time off

Holidays and paternal leave

Job summary

Vital Care Infusion Services in the United States seeks a remote Authorization Specialist to initiate and manage prior authorizations, ensuring accuracy and timeliness to reduce denials and improve cash flow.

The role emphasizes communication with franchise partners and payers, documentation, and adherence to standard practices while handling credentialing and contract applications remotely.

Qualifications

• Excellent communication skills in English and ability to interact with payers and patients.
• Strong understanding of billing and collection processes across payer types.
• Proficient with MS Office and pharmacy software applications.

Responsibilities

• Review patient files for completeness to submit prior authorizations and maximize reimbursement.
• Communicate with franchise partners, payers, and internal teams on authorization status.
• Document all activities and schedule follow-ups to resolve authorization issues.
• Verify benefits for pharmacy and medical third-party claims and obtain reauthorizations as needed.
• Track service delays and keep customers informed to ensure access to therapy.

Skills

Communication

Billing

MS Office

Pharmacy apps

Education

High school diploma

Tools

Pharmacy software

Job description

Vital Care Infusion Services in the United States seeks a remote Authorization Specialist to initiate and manage prior authorizations, ensuring accuracy and timeliness to reduce denials and improve cash flow.

The role emphasizes communication with franchise partners and payers, documentation, and adherence to standard practices while handling credentialing and contract applications remotely.