Prior Authorization Representative Job at BroadPath, Remote

Tk9KT2lQM2h5UDVLZDAzU2hJNDYrRUZMaGc9PQ==
  • BroadPath
  • Remote

Job Description

Overview:

BroadPath is excited to announce that we are hiring for work-at-home positions! Join our team and enjoy the flexibility of working from the comfort of your own home.
Prior Authorization Representatives will receive inbound phone calls and faxes from members, doctors' offices, or other departments requesting information on prescribed medications, their eligibility/coverage of these medications, and advise what medications are covered under the plan, if needed. The representatives will manage the prior authorization process for medications and provide updates on approval status. 

Responsibilities:
  • Verifying eligibility and coverage for prescribed medications
  • If medication is not covered, working with the caller to determine what medication can  be covered and assist with building prior authorizations for these medications
  • Assisting Prior Authorization individuals with status updates on the authorizations and  statuses of the request
  • Reviewing medication inquiries and contacting healthcare providers for follow-up  information
  • Reviewing provider documentation and accurately interpreting and entering data into  the database
  • Excellent communication (both verbal and written) and problem-solving skills
  • Ability to effectively multitask and possess excellent attention to detail
  • Self- motivated with the ability to work well independently and as part of a team with  minimal direct supervision
Qualifications:

Required:

  • 1+ years of healthcare, claims, or medical administrative work experience 
  • 1+ years of recent continuous employment with previous employer
  • 2+ years of customer service or call center experience 
  • Computer literate (Microsoft Windows, keyboarding skills, strong systems aptitude)
  • Medical and Healthcare terminology knowledge
  • Exceptional communication skills
  • Strong computer/data entry skills
  • High school diploma or equivalent
  • Proficiency in Microsoft Office and industry-related software programs
  • Ability to work with peers in a team effort and independently resolve issues
  • Demonstrated ability to manage multiple priorities and deadlines
  • Capability to efficiently complete tasks in a fast-paced environment
  • 100% attendance is required during training: No time off within the first 60 days of employment
  • Responsible for providing your own 19" monitor or larger with VGA or HDMI port with corresponding cable, USB wired mouse, ethernet cable, and optional USB wired keyboard
  • Reliable hardwired internet is a must with at least 25mbps download | 10mbps upload speeds

Preferred:

  • Candidates with prior experience in managing or processing medication prior authorizations are highly preferred 

 

 

Disclosure: 

 

At BroadPath, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It’s how we build relationships, share ideas, and stay engaged. If you’re someone who values open communication, connection, and teamwork, you’ll thrive in our environment where showing up authentically matters.


What to Expect:

  • On-camera participation during interviews, training, team meetings, and regular check-ins.
  • Face-to-face discussions sparking collaboration and engagement
  • A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

  

BroadPath may conduct background checks, previous employment verifications, and education verifications, based on position requirements

Diversity Statement:

At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

 

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at [email protected]. This information will be held in confidence and used only to determine an appropriate accommodation for the application process

 

BroadPath is an Equal Opportunity Employer

We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law

Job Tags

Temporary work, Work experience placement, Remote job,

Similar Jobs

Performance Food Group

Truck Driver - Class B Job at Performance Food Group

 ...Growth opportunities performing essential work to support America's food distribution system.+ Safe and inclusive working environment,...  ...1-2 layovers a week**Position Purpose:**Food and food service delivery Drivers fulfill a critical role in the country's food supply... 

Luah Logistics LLC

Food Delivery Driver Job at Luah Logistics LLC

We are looking for delivery drivers with great customer service experience and good work ethicsto do catering deliveries . Must have your own Vehicle. Experience in delivery driving but not required,customer service, or other related fields Clean driving record... 

Farm Job Search

Dairy Farm Herdsman Job at Farm Job Search

 ...Dairy Farm Herdsman (6054) Location: New York State JobNumber: 6054 Dairy Farm Herdsperson job opening in Western New York on a 500 plus cow dairy farm. This position requires a responsible and dependable person who can observe cattle, organize and complete tasks... 

HHDC

Maintenance Technician - Humboldt Park Job at HHDC

 ...position will also be expected to assist in other types of basic maintenance such as grounds and other janitorial duties when necessary....  ..., dirty, and clean work environments to include garden, alley parking lots, basement, roof, and office areas.Position experiences... 

Whitney Museum of American Art

[Spring 2026] Education - Interpretation and Teaching Strategies Job at Whitney Museum of American Art

 ...00 hours. Interns are assigned to a specific department at the Museum for the duration of the internship. For more information, including...  ..., please visit our Internships page. The Whitney seeks an Education - Interpretation and Teaching Strategies intern for the Spring...