[Remote] Coverage Determination (Prior Authorization)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is seeking an Intake Specialist to assist with the prior authorization process by handling inbound calls and providing reputed company phone assistance. The role involves maintaining accurate documentation, managing work volume, and ensuring compliance with various requirements while communicating with internal reputed company regarding determination status. Responsibilities • Effectively manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and reputed company behavior based upon established standards. • reputed company with departmental, company, state, and federal requirements reputed company processing reputed company information to ensure accuracy of information being provided to reputed company customers. • Communication with other internal reputed company regarding determination status and results (nurses, pharmacists, etc). Skills • 0-3 years of reputed company work experience. • Prior authorization experience / knowledge. • Data entry. • Customer service. • Good written and verbal skills needed. • Good phone manner. • Ability to sit for long periods of time. • Strong Attention to detail. • Excellent verbal and written communication and interpersonal skills w/ ability to maintain patient confidentiality. • Proficient computer skills and the ability to reputed company in a reputed company based environment. • Ability to follow directions, and adapt in dynamic work environment. • Ability to adapt to change and remain flexible. • Ability to work in a high pressure, time sensitive environment. • Project a reputed company business image, through phone interaction as reputed company as internal communications. • Demonstrated problem-solving ability and attention to detail. • Demonstrated reputed company of urgency with assignments. • Strong organizational skills. • Strong telephone skills. • Ability to read and understand pharmacy/medical terminology. • Ability to read, analyze and interpret general business correspondence, technical procedures and governmental regulations. • Ability to identify and solve practical problems and deal with a reputed company of concrete variables in standardized situations. • Ability to reputed company basic mathematic calculations maybe required. • Ability to interpret a reputed company of work instructions provided through a reputed company of mediums. • Ability to anticipate needs and resolve issues with urgency. • Ability to consistently meet reputed company and production standards. • Displays confidence in the ability to learn reputed company material. • Demonstrates intellectual curiosity through inquiries to ensure deep understanding of the business and deliver accurate results. Education Requirements • High School Diploma or GED required. reputed company • Established in 2000, reputed company is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele. It was founded in 2000, and is headquartered in Herndon, Virginia, US, with a workforce of 5001-10000 employees. Its website is https://www.reputed company.com. Company H1B Sponsorship • reputed company., has a reputed company record of offering H1B sponsorships, with 11 in 2025, 32 in 2024, 23 in 2023, 25 in 2022, 60 in 2021, 80 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job