- Remote, United States
- Remote
- Full-time
- $16–$18 per hour
- 0+ years
Coverage Review Representative providing medication coverage and prior authorization support to members and healthcare providers from a remote work setting.
Compensation
Competitive Compensation: Earn $16.00 per hour during training and nesting, increasing to $16.50 per hour once in production. Earn More During Training: Qualify for performance incentives of up to an additional $2.00 per hour during training and nesting, bringing your potential earnings to $18.00 per hour!
Responsibilities
- Answer inbound calls from members, physicians' offices, and healthcare partners regarding prescription medication benefits and coverage
- Verify member eligibility and determine medication coverage under applicable healthcare plans
- Assist callers with understanding medication coverage options and prior authorization requirements
- Provide updates on prior authorization requests and coordinate with appropriate departments
- Review medication inquiries, documentation, and requests for additional information
Requirements
- High school diploma or equivalent