[Hiring] Prior Authorization Specialist @SelectQuote, Inc.

Role Description

The Prior Authorization Specialist is responsible for obtaining prior authorizations for all prescriptions that require insurance carrier authorizations.

• Contact insurance carriers to verify the patient’s insurance eligibility benefits and requirements.
• Request, track, and obtain prior authorization from insurance carriers within the time allotted.
• Request follow-up and secure prior authorizations ahead of prescriptions leaving the pharmacy.
• Communicate any insurance changes or trends among the team.
• Maintain a level of productivity suitable for the department.
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements including proper format.
• Answer questions from patients, clerical staff, and insurance companies.
• Identify and resolve Prior Authorization roadblocks through various means including contacting physicians.
• Participate in educational activities and attend staff meetings.
• Maintain the strictest confidentiality; adhere to all HIPAA guidelines and regulations.

Qualifications

• Knowledge of medical billing/collection practice.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer, computer software, and basic office equipment.
• Ability to operate a multi-line telephone system.
• Skilled in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand, and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Proficiency in reading, writing, and speaking English is required.

Requirements

• Minimum 1 year of related experience required.
• Pharmacy Technician Certification required (PTCB or NHA).
• Indiana and Pennsylvania State Pharmacy Technician license required, or willing to obtain before start date.

Benefits

• Competitive Medical, Dental, and Vision Insurance.
• HSA/FSA.
• Voluntary Hospital Indemnity, Critical Illness, Accident Insurance, and Short Term Disability.
• Voluntary Life Insurance for Self, Spouse, and Dependent.
• Company-paid Basic Life Insurance and Long Term Disability.
• Retirement plan and Employer match contribution with Profit Share.
• Tuition Reimbursement program.
• Company perks and Discount program.
• Engaging Wellness and Financial Education Resources.
• Employee Assistance Program.
• Incentive Plans.
• Base Hourly Minimum: $18.00.
• Base Hourly Maximum: $21.00.