Remote Prior Authorization Specialist

RemX Speciality Staffing; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

A leading staffing agency is seeking a Remote Prior Authorization Specialist. In this role, you will manage calls and process authorization requests while verifying patient eligibility and insurance coverage. Candidates need at least one year of experience in prior authorizations and strong medical terminology knowledge. This position allows for remote work, requiring high-speed internet access.

Qualifications

• 1+ year of recent experience in prior authorizations, benefits verification, or insurance claims.
• Strong knowledge of medical terminology, CPT/ICD codes, and insurance processes.
• Must have high-speed internet with modem access.

Responsibilities

• Manage outbound and occasional inbound calls to patients, providers, and payers.
• Review and process prior authorization requests for medications, services, and procedures.
• Verify patient eligibility, benefits, and insurance coverage.

Skills

Prior authorizations experience

Knowledge of medical terminology

Ability to manage high volume calls

Education

High School Diploma or equivalent

Job description

A company is looking for a Remote Prior Authorization Specialist.

Key Responsibilities

• Manage outbound and occasional inbound calls to patients, providers, and payers
• Review and process prior authorization requests for medications, services, and procedures
• Verify patient eligibility, benefits, and insurance coverage

Required Qualifications

• 1+ year of recent experience in prior authorizations, benefits verification, or insurance claims
• Strong knowledge of medical terminology, CPT/ICD codes, and insurance processes
• High School Diploma or equivalent required
• Must have high-speed internet with modem access
• Ability to manage high call volume and multiple tasks with accuracy