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Remote Prior Authorization Specialist

Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025

Job Description:

A company is looking for a Remote Prior Authorization Representative.
Key Responsibilities

Verify prior authorization requirements and obtain necessary authorizations
Coordinate required paperwork and clinical notes for submission to support requests
Follow up on authorization status to ensure timely processing

Required Qualifications

Basic knowledge of payer payment processes and prior authorization procedures
Familiarity with ICD9/10 and CPT codes, with expert knowledge of specific therapy codes
Advanced Microsoft Excel skills and ability to learn multiple CRM software programs
Good organizational skills to manage multiple inquiries simultaneously
Experience in customer service with various stakeholders

Keywords: VirtualVocations, Alhambra , Remote Prior Authorization Specialist, Other , Vista, California

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