Job Description

Job Responsibilities:

• Prior experience with prior authorization (PA) reviews or clinical case reviews in a high-volume or production setting—look for direct experience processing PA requests, ideally with commercial or specialty pharmacy, and strong documentation of meeting service level agreements (SLAs) or production targets.
• Demonstrated ability to multitask using multiple technology platforms and clinical resources—seek candidates who highlight comfort with multitasking, proficiency with Microsoft Office (especially Excel and Word), and using multiple clinical and administrative systems at once.
• Strong communication and collaboration skills in cross-functional team prioritize resumes that show effective written and verbal communication, experience working with both clinical and non-clinical staff, and handling phone-based interactions with providers and patients.

Skills:

• Quiet, distraction-free home office with a door
• Must be hardwired (no Wi-Fi)
• History of remote work preferred

Education/Experience:

• Licensure: Active LPN license
• Education: High school diploma
• Experience: 1–3 years preferred

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