Prior Authorization Specialist Job at BroadPath, Remote

STIzZXExRXpGVzg5TnU1U2pMY3NKRmh6dEE9PQ==
  • BroadPath
  • Remote

Job Description

Overview:

BroadPath is hiring Prior Authorization Specialists to work from home. Our Prior Authorization Specialist is responsible for reviewing and resolving authorization requests and communicating resolution to the appropriate parties in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. 
Compensation Highlights

  • Base Pay: 18.00 per hour
  • Pay frequency: Weekly pay 

 

Schedule Highlights

  • This is a full-time, steady state role with no pre-determined end date. No weekend work required!
  • Training Schedule: Monday-Friday, 8:00am-4:30pm Pacific Time
  • Production Schedule: Monday-Friday, 8:00am-5:00pm Pacific Time 
Responsibilities:
  • Process authorization requests from intake for completeness and possible approval based on available criteria
  • Research issues utilizing systems and other available resources
  • Assures timeliness and appropriateness of requests according to state, federal and healthcare guidelines
  • Approve/fund requests if available information aligns with criteria
  • Route requests for clinical review as indicated
  • Creates and/or maintains statistics and reporting
Qualifications:
  • High school diploma or equivalent
  • 1 year of health claims experience, or one year of customer service/provider service experience in a managed care or healthcare environment
  • Ability to toggle through multiple systems
  • Strong verbal and written communication skills
  • Processing Authorizations with Medicare Part C or D experience
  • Basic knowledge of medical terminology, computer literacy, and proficient keyboarding skills are required
Diversity Statement:

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!


Equal Employment Opportunity/Disability/Veterans 

If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process 

 

BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law. 

 

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. 

Job Tags

Hourly pay, Weekly pay, Full time, Temporary work, Work from home, Monday to Friday,

Similar Jobs

Enterprise Medical Recruiting

Premier OB/GYN Team in Effingham, IL Adding Physician Assistant Job at Enterprise Medical Recruiting

 ...A dynamic, well-established OB/GYN group in South Central Illinoisis bringing on another Women's Health Physician Assistant. Step right into a busy, well-managed practice with experienced support staff! About The Opportunity: Work from one office with a great... 

FLRSH IN

Nonprofit Event Assistant - Entry Level | Paid Training Job at FLRSH IN

 ...Were seeking Entry-Level Nonprofit Event Assistants to join our mission-driven team . This is a full-time role with paid hands-on training , ideal for candidates looking to launch a career in nonprofit marketing, event coordination, and community outreach .... 

PennFleet Corp

Road Service Technician Job at PennFleet Corp

 ...smarter. Our ideal candidate isinterested in technology and taking on the challenges of today's more complex equipment. PennFleet Road Service Technicians repair medium and heavy dutydiesel trucks and equipment (Hino, Isuzu, Volvo, Freightliner, International,... 

Following Your Heart

Mindset & Success Mentor - Remote Job at Following Your Heart

 ...community by your side. As a Mindset & Success Mentor, Youll Be Sharing life-...  ...in personal development, leadership, or coaching Are based in Colorado and legally able...  ...independent contractor opportunity. Not suited to students or those seeking salaried employment.... 

Achieve Test Prep

Virtual Assistant Support Job at Achieve Test Prep

 ...small to midsize businesses hire offshore talent, also known as virtual assistants (VA). Much of our competition is foreign-based companies that...  ...tasks with minimal supervision.* Manage data entry, including creating leads, contacts, deals, and updating records...