Remote Prior Authorization Specialist - Pharmacy Support

PHIL, Inc.; San Francisco (CA); On-site; USD 50,000 - 65,000; Full time

Benefits offered by this job

Ground floor opportunity with a growing startup

Impactful work that enhances wellness

Job summary

A health-tech startup based in San Francisco is seeking a full-time Prior Authorization Specialist to support pharmacy operations. The role involves verifying patient insurance coverage, submitting prior authorizations, and assisting health care providers. The successful candidate should have experience in prior authorizations and exceptional communication skills. This position offers an opportunity to contribute to improving patient access to medications in a growing health-tech environment.

Qualifications

• Experience working in prior authorizations, medical insurance billing, or health insurance.
• Access to reliable, high-speed internet for remote processing.
• Reliable transportation for in-office requirements.

Responsibilities

• Verify patient insurance coverage using resources.
• Submit prior authorizations timely via electronic portal.
• Assist providers with appeals processing.
• Document activities accurately using the operating system.
• Work closely with Customer Support to ensure patient success.

Skills

Team player

Exceptional written and verbal communication skills

Adaptability to new workflows

Problem-solving

Customer service

Job description

A health-tech startup based in San Francisco is seeking a full-time Prior Authorization Specialist to support pharmacy operations. The role involves verifying patient insurance coverage, submitting prior authorizations, and assisting health care providers. The successful candidate should have experience in prior authorizations and exceptional communication skills. This position offers an opportunity to contribute to improving patient access to medications in a growing health-tech environment.