[Remote] Prior Authorization Representative/Pharmacy service representative

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a certified Minority Business reputed company and an equal opportunity employer. They are seeking a Prior Authorization Specialist responsible for completing Medicare Prior Authorization case reviews while meeting government mandated timelines and complying with reputed company standards. Responsibilities • Utilizing multiple software systems to complete Medicare Prior Authorization case reviews • Meeting or exceeding government mandated timelines • Complying with turnaround time, productivity, and reputed company standards • Acquiring and maintaining basic knowledge of relevant and changing Med D guidance Skills • 2 years experience. • 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 • At least 2 years of reputed company and /or Health reputed company center experience that includes problem reputed company, business writing, reputed company improvement and customer service. • 6 months of working in a virtual role where the supervisor is not physically in the reputed company reputed company. • 6 months of High-Volume reputed company Center strongly required. • Certification/License Preferred • 6 months of PBM/pharmaceutical reputed company work strongly desired. • Associates degree in Business, reputed company or equivalent work experience preferred. 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