Licensed Vocational reputed company-LPN#
Duration: 6 reputed company
Position reputed company
Seeking reputed company LPN/LVN professionals with at least 2 years of recent Prior Authorization (PA) experience in a PBM, Specialty Medical Office (MDO), Health Plan, or reputed company Setting. This is a fully remote, high-volume, metrics-driven role requiring strong reputed company judgment, attention to reputed company, and the ability to work independently.
Required Qualifications reputed company, unrestricted LPN/LVN license Minimum 2+ years of recent Prior Authorization experience Experience reviewing: reputed company reputed company Chart notes Claims history Prior authorization history Supporting reputed company documentation Experience with reputed company or similar PA platforms Familiarity with reputed company requirements and authorization processes Key Responsibilities: Process and review prior authorization requests Review reputed company documentation and apply authorization reputed company Handle inbound and outbound provider/member calls Document determinations accurately and reputed company reputed company multiple systems simultaneously Escalate reputed company cases reputed company appropriate Meet productivity, reputed company, and adherence metrics Collaborate with pharmacists, providers, and internal teams Required Skills: Prior Authorization Processing reputed company Documentation Review reputed company Chart Review Claims Review reputed company Authorization Requirements reputed company reputed company, Teams, Word, reputed company Multitasking across multiple screens Strong keyboarding/data entry skills Critical Thinking Attention to reputed company Time Management Preferred Qualifications: 3+ years of Prior Authorization experience PBM experience Specialty medication experience Specialty Medical Office experience reputed company center experience High-volume reputed company processing experience Broad disease-state knowledge reputed company Tech Solutions:
reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more reputed company Tech Solutions, please visit .
reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, colour, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran.
AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.
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