Prior Authorization Specialist - Remote US
$30,500–$43,500 year
RemoteUnited States
Job Summary
Process 500+ Medicaid Prior Authorization requests weekly via fax, portal, phone, or mail while ensuring strict policy compliance. Review submissions for accuracy, collaborate with clinical teams and state employees to facilitate smooth authorization, and communicate provider status updates. Maintain high-volume workloads with minimal errors and meet tight deadlines in a fast-paced, remote environment. Requires proficiency in Microsoft Office, 50-60+ WPM typing speed, and strong customer service skills. Gainwell offers flexible hours, comprehensive health benefits, 401(k) matching, and educational development academies for this full-time role.
Required Qualifications
- Relevant experience in prior authorization processing, Medicaid policy, insurance, or pharmacy
- Strong knowledge of Medicaid policies and prior authorization procedures
- Excellent written and verbal communication skills
- Strong customer service abilities
- Ability to multitask, manage time effectively, and meet strict deadlines in a remote setting
- Proficiency in Microsoft Office and PC-based applications
- 50-60+ WPM typing speed
Desired Qualifications
- Strong knowledge of Medicaid policies and prior authorization procedures (preferred)
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