Job Overview:
We're seeking a highly skilled and detail-oriented Prior Authorization Coordinator to join our team at Medical Review Institute of America (MRIoA). As a market leader in technology-enabled utilization management and clinical medical review solutions, we're committed to excellence and continual improvement. In this fully remote role, you'll play a vital part in processing prior authorization requests with accuracy, timeliness, and exceptional customer service.
Key Responsibilities:
- Process and finalize prior authorization requests within client-specified turnaround times and performance guarantees
- Analyze and obtain necessary information to make informed prior authorization processing determinations
- Interact with internal and external customers to provide outstanding service and quality
- Enter prior authorizations into our system, prioritize requests, and document related information
- Utilize drug references, verify medication indications, and check formulary alternatives
- Collaborate with clinical pharmacists to ensure adherence to administrative processing boundaries and timeframes
- Analyze, research, and resolve prior authorization processing issues, and identify operational improvements
What We Offer:
- Competitive compensation package and benefits, including healthcare, vision, and dental insurance
- Generous 401k match, paid vacation, personal time, and holidays
- Growth and training opportunities in a dynamic and supportive team environment
- Fun events and prizes throughout the year to recognize your hard work and dedication
Requirements:
- Minimum 1 year of prior authorization experience preferred, with moderate-to-high level medication and disease state knowledge
- Personal computer literacy and high competency in using Microsoft Word, Excel, Adobe, etc.
- Strong organizational skills, attention to detail, and excellent critical thinking capabilities
- Exceptional customer service skills and ability to work in a fast-paced environment
- High school diploma or equivalent, with an active Certified Pharmacy Technician (State or National License)
Work Environment:
This is a fully remote position, allowing you to work from the comfort of your own home. You'll need to have the ability to sit at a desk, utilize a computer, telephone, and other basic office equipment.
Diversity and Inclusion:
We're committed to creating a healthier atmosphere, where diversity is valued and respected. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Ready to Apply?
If you're a reliable and willing learner, we want to hear from you! Apply now to join our team as a Remote Prior Authorization Coordinator and take the first step towards a rewarding and challenging career.
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