Prior Authorization Specialist - Contract
PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts.
4 month contract with possibility of full-time employment.
About the Company:
Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup, pioneering the first Software Therapy Deployment Platform for Specialty Pharmaceuticals that treat complex health conditions. Our mission is to ensure consistent, reliable and affordable access to complex therapeutics for our patient community. Partnering with pharmaceutical manufacturers, PHIL offers digital patient access services to improve health outcomes for patients by delivering affordable and timely access to high-cost Specialty therapeutics. We recently completed our Series D financing led by Warburg Pincus, with $122M in capital raised to date with near-term line of sight to profitability. Headquartered in Scottsdale with operational hubs in Scottsdale AZ and Columbus, OH, the company currently employs over 120 individuals and expects to double its employee base in the coming year. For more information on PHIL, visit https://phil.us/
Position Overview
The most important goal here at PHIL is to improve patients' medication adherence by offering a quick and effortless way for patients to get their medications on time. Prior Authorization Specialists ensure that prescribing offices have all of the information that they need in order to efficiently complete electronic coverage requests in addition to providing phone and email support.
Job Duties:
Verifies patient insurance coverage utilizing phone or online resources
Submit prior authorizations to insurance plans in a timely manner via electronic portal
Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources
Verbally assist providers in navigating appeals processing
Ensures all pertinent medical documentation is accurate and present prior to authorization submission
Compiles trends in authorization determinations for client and prescriber education
Document activities appropriately in process notes using our operating system
Work closely with our Customer Support team to ensure the success of patients that are recommended to us by their physician's office
Requirements
Proven team player, but can solve problems independently as well
Exceptional written and verbal communication skills
Easily adapt to new system and workflow changes
Demonstrate experience working in prior authorizations, medical insurance billing, and/or health insurance (required)
Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)
Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals
Demonstrate flexibility to perform duties wherever volume deems it necessary
Customer service experience (preferred)
Access to reliable, high-speed internet to meet the needs of remote processing (required)
Benefits
Ground floor opportunity with one of the fastest-growing startups in health-tech
Solve a problem that matters: be part of a company that uniquely leverages technology to bring wellness to all of its stakeholders
Average salary estimate
If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.
Experienced operational leader needed to manage and develop Patient Support Supervisors and teams for a specialty pharmacy services provider, ensuring high-quality, timely patient medication and support services.
Fleetio seeks an Associate Customer Support Specialist to deliver exceptional tier 1 technical support and product guidance to users of its fleet management platform.
Truist is looking for a customer-oriented Universal Banker to execute branch transactions, promote digital solutions, and support sales and IRM efforts at the Gap, PA location.
Protective Asset Protection seeks a remote Automotive Claims Adjuster II to adjudicate extended warranty claims and provide professional, high-quality customer service.
St. Charles Health System seeks a detail-oriented Patient Access Representative to perform registration, insurance verification, payment collection, and scheduling at its Madras location.
Senior Customer Success Engineer to provide expert technical guidance on Rasa deployments, optimize enterprise conversational AI solutions, and act as a trusted partner across customer teams.
Provide expert, hands-on product and technical support for Rundoo’s ERP platform to help independent hardware and paint store customers resolve issues and adopt workflows.
Cornerstone Building Brands is hiring a hybrid Customer Success Representative in Welcome, NC to manage customer orders, resolve issues, and deliver exceptional post-sale support.
Gravwell is hiring an OT Customer Success Architect to design and implement Gravwell analytics and integrations for customers operating critical OT environments, serving as a trusted technical advisor.
Vantage is hiring a technically-minded Customer Success Manager to onboard, train, and advocate for customers using its cloud cost optimization platform.
Modivcare is hiring a Client Service Representative I to manage client inquiries, maintain records, and support ticket resolution across multiple communication channels.
Northwestern Medicine is hiring a Patient Access Specialist to manage patient registration, scheduling, and insurance eligibility while delivering outstanding customer service during daytime shifts.
Zócalo Health is hiring a Director of Patient Support to lead a remote, bilingual team that drives patient engagement, retention, and best-in-class service across clinical and digital channels.
We started Phil with the simple conviction that the medications we take should improve our sense of wellbeing. In other words, we should not have to suffer through an inconvenient, stressful and archaic experience to ensure a consistent supply of ...
4 jobs
🔮
Hi, I'm Risa! Your AI Career Copilot
you, just ask me below!
