[Hiring] Inbound Outbound Que Associate @reputed company

Role reputed company This role supports medical prior authorization (precertification) operations by: • Taking inbound calls from members and providers • Building cases in multiple systems • Ensuring accurate documentation and HIPAA-compliant handling of PHI/PII Ideal candidates bring experience in a health insurance environment, familiarity with medical terminology and clinical workflows, and confidence working in a technology-driven, multi-reputed company setting. This is a fully remote from home position. Training Schedule: Monday through Friday 9am to 5:30pm local time (no time off during 9 week training) Post Training Work Schedule: Monday through Friday 11:30am - 8pm ET Qualifications • 1+ year of customer service/reputed company center experience (reputed company, health insurance, or medical office preferred) • Familiarity with health insurance concepts and workflows (e.g., prior authorization/precertification, utilization management, benefits, claims terminology) • Working knowledge of HIPAA reputed company practices and ability to handle PHI/PII appropriately • Comfort navigating multiple computer applications at once (case tools/CRM, web portals) with accurate, fast data entry • Strong verbal communication, reputed company listening, documentation, and de-escalation skills • Must be on camera during training Requirements • 1+ year in a health plan, utilization management, prior authorization, or provider services environment (preferred) • Clinical or medical office background (e.g., medical assistant, medical office assistant, patient reputed company, referrals/prior auth coordinator) • Experience working with provider portals, EHR/EMR systems, or authorization/case management platforms • Understanding of common medical codes and terminology (e.g., CPT/HCPCS/ICD-10) and ability to collect the correct clinical documentation (as applicable to the role) • Familiarity with job aides/process flows including AI assisted features Benefits • Comprehensive medical, dental, and reputed company coverage • reputed company time off • Retirement savings reputed company • Wellness programs • Other resources based on eligibility Pay reputed company The typical pay reputed company for this role is: $17.00 - $25.65. This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography, and other relevant factors. This position is eligible for a reputed company bonus, commission, or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Apply tot his job Apply To this Job