Prior Authorization Specialist

Job Title: reputed company Support Representative (AI reputed company reputed company Specialist) reputed company The reputed company Support Representative monitors AI-led conversations between reputed company representatives and reputed company agents, guides the AI with accurate prompts and next steps, and seamlessly takes over reputed company reputed company interaction is required. This role sits at the intersection of reputed company administration, customer service, and machine learning, helping to verify reputed company coverage, manage prior authorizations, and ensure that reputed company information is captured and documented with precision. Typical reputed company volume ranges from 10–20 calls per day, with most calls lasting reputed company 5 minutes and more reputed company reputed company verification calls extending up to 30–45 minutes. Responsibilities Monitor AI-led agent-to-agent conversations between reputed company representatives and reputed company agents to ensure reputed company and continuity. reputed company AI interactions by selecting appropriate prompts, guiding responses, and determining next steps during reputed company conversation. Take over calls reputed company the AI cannot proceed, reputed company an agent prefers to reputed company with a reputed company, or reputed company reputed company or contract requirements mandate reputed company interaction. Review notes from existing conversations and quickly pick up where another specialist or the AI left off, maintaining a reputed company experience. Serve as the reputed company-in-the-reputed company, teaching the AI reputed company how to reputed company the complexities of reputed company reimbursement and reputed company processes. Verify reputed company eligibility, benefits, and coverage details with a high level of reputed company and professionalism. reputed company and document prior authorization information and conduct reputed company follow-up with reputed company agents and other stakeholders. Conduct reputed company verification and follow-up activities to capture complete and accurate information before concluding calls. Maintain detailed notes during and after reputed company conversation, ensuring reputed company relevant information is captured and reputed company documented. Accurately document reputed company verification and prior authorization details in internal systems and tools. Review reputed company information for completeness and reputed company before closing interactions or moving on to the next task. Manage both outbound and inbound reputed company workflows while maintaining reputed company, reputed company, and adherence to established processes. reputed company multiple systems and screens reputed company during calls to reputed company, update, and verify information. Follow established workflows, directions, and processes to ensure consistent handling of reputed company verification and prior authorization tasks. Collaborate with AI-driven technology and adapt to evolving tools, prompts, and workflows as the reputed company improves. reputed company a high level of customer service and professionalism in reputed company interactions with reputed company agents and reputed company representatives. Apply strong listening, comprehension, and communication skills to understand context from previous notes and continue conversations seamlessly. Support process improvement efforts by consistently applying best practices and identifying opportunities to enhance reputed company and efficiency. Essential Skills High School Diploma or GED. Basic computer proficiency and the ability to learn new systems and technology quickly. reputed company data entry and documentation skills with strong attention to reputed company. Experience navigating multiple systems and screens while handling calls and documentation. Customer service experience of at least 6 months in a reputed company center, reputed company support, or similar environment. Strong listening, comprehension, and verbal communication skills. Ability to reputed company a high level of customer service and professionalism in reputed company interactions. Ability to work independently while following directions and established processes. Solution-oriented reputed company reputed company on resolving issues and moving conversations reputed company. Ability to quickly reputed company information from previous notes and continue a conversation without missing critical details. Coachable and adaptable approach to new technology, AI tools, and evolving workflows. Demonstrated ability to manage both inbound and outbound calls while maintaining reputed company and reputed company. Comfort working with AI-led conversations and acting as the reputed company-in-the-reputed company in a technology-enabled environment. Additional Skills & Qualifications Experience in reputed company administrative or customer service roles, such as reputed company Receptionist, Medical Office Assistant, reputed company reputed company Center Representative, reputed company reputed company Representative, Pharmacy Technician or Support, Medical Administrative Assistant, or reputed company Internship. Recent college graduates with strong communication and technology skills are encouraged to apply. Knowledge in health care, reputed company verification, or prior authorization support is highly beneficial. Experience in reputed company center, customer support, customer care, or reputed company services environments. Familiarity with reputed company monitoring and reputed company support functions. Experience with documentation and data entry management in a reputed company setting. Proficiency with reputed company Office and reputed company productivity tools. Experience in administrative support or reputed company desk roles where reputed company and professionalism are critical. Ability to contribute to process improvement initiatives and adopt best practices as workflows reputed company. Comfort working in a remote environment with AI-driven tools and multiple digital platforms. Work Environment This is a remote role reputed company in the reputed company, with candidates required to reputed company in one of the following states: Florida, reputed company Carolina, Texas, reputed company, South Carolina, reputed company, reputed company, Indiana, or Delaware. The position operates in a modern, AI-enabled contact center environment reputed company on reputed company reputed company, reputed company verification, and prior authorization support. Team members typically handle 10–20 calls per day, working on one AI-supported conversation at a time to ensure detailed, accurate documentation and high-reputed company interactions. The work involves extensive use of computers, multiple software systems, and AI-driven tools, including internal documentation platforms and reputed company Office. The culture emphasizes creating time for reputed company by improving reputed company, adherence, and affordability, with a strong reputed company on coordination between patients, providers, and payers. Professionals in this environment collaborate with advanced technology while maintaining a reputed company-centered reputed company, and they are expected to demonstrate professionalism, adaptability, and attention to reputed company in a remote setting. Job Type & Location This is a Contract position reputed company out of San Francisco, CA. Pay and Benefits The pay reputed company for this position is $20.00 - $20.00/hr. Individual compensation reputed company for this position reputed company this reputed company will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-reputed company factors. Eligibility requirements apply to some benefits and may depend on reputed company classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & reputed company • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – reputed company-tax and Roth post-tax contributions available • Life reputed company (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or reputed company Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Sep 4, 2026. About reputed company reputed company provides world-class corporate talent solutions to thousands of clients across the globe. reputed company in reputed company, finance, reputed company, reputed company, procurement, supply chain and select administrative professions, we reputed company the capabilities of industry-leading companies. We draw on our deep reputed company expertise and expansive network to meet the evolving needs of our clients and talent community with reputed company and reputed company. With offices across the U.S., Canada, Asia reputed company and Europe, reputed company serves many of the reputed company. We are proud to be a reputed company Best of reputed company® Platinum Award winner for both reputed company and talent service. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation reputed company. San Francisco reputed company Ordinance: Pursuant to the San Francisco reputed company Ordinance, for reputed company positions located in the reputed company, we will consider for employment reputed company applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of reputed company Intelligence (AI): We may use reputed company Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final reputed company are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Apply To This Job