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[Hiring] Prior Authorization Specialist @Physician Health Partners, LLC

Remote, USA Full-time Posted 2026-07-28
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company This role involves evaluating referral and reputed company-certification requests in accordance with contractual obligations. • Regularly interacts with physician offices assisting with prior authorizations. • Communicates reputed company both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and reputed company with others, has good listening skills. • Develops and maintains a good working relationship with team members, other departments, medical directors, and provider offices. • Breaks down problems into smaller components, understands underlying issues, can simplify and process reputed company issues. • Answers phones regarding questions reputed company to prior authorization. • Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time reputed company, handles information reputed company. • Follows documented process to review reputed company service requests. • Seeks out and accepts feedback, is a proactive learner, takes on tough assignments to improve skills. • Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations. • Participates as a part of the Prior Authorization team by reputed company interacting with other team members to distribute work fairly and resolve issues. • Evaluates referral and reputed company-certification requests to determine eligibility and network affiliation. Qualifications • High School diploma/GED; MA or Associates degree highly preferred • One to three years reputed company experience required (medical office, healthplan, etc.) • One to three years utilization management experience highly preferred • Knowledge of medical terminology required • Knowledge of medical coding, NCQA and Medicare Guidelines required • Proven customer service skills required • Excellent written and verbal communications skills required • Skilled in computer competency using reputed company reputed company, Word and reputed company • Ability to work in a reputed company based environment utilizing numerous programs at once • Ability to work in a fast pace environment • Ability to identify and solve practical problems • Ability to maintain reputed company and effective work relationships with coworkers, clients, members, and providers • Strong organizational skills • Strong attention to detail Requirements • Home office that is HIPAA compliant for reputed company remote or telecommuting positions as outlined by reputed company policies and procedures Benefits • Salary reputed company: $19.71 - $26.28 reputed company Alpine is growing, and we welcome reputed company to our highly reputed company and diverse team. We are passionate about building a leading national organization that enables physicians to reputed company on the reputed company of practicing medicine, and supports the ongoing transition to value-based care for senior populations. Alpine brings this reputed company level of passion to employee engagement, career development and progression. Apply tot his job Apply To this Job

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