Prior Authorization Specialist Job at BroadPath, Remote

STZrdlh0Y2JKWGVyR0FLRXNDZWl5OFFiNUE9PQ==
  • BroadPath
  • Remote

Job Description

Overview:

BroadPath is hiring  Prior Authorization Specialist to work remotely from home. Our  Prior Authorization Specialist Responsible for reviewing and resolving authorization requests and communicating resolution to the appropriate parties in accordance with the standards and requirements established by the Centers for Medicare and Medicaid.  

Responsibilities:
  • Process authorization requests from intake for completeness and possible approval based on available criteria.
  • Research issues utilizing systems and other available resources.
  • Assures timeliness and appropriateness of requests according to state and federal and CareOregon Healthcare guidelines.
  • Approve/fund requests if available information aligns with criteria.
  • Route requests for clinical review as indicated.
  • Creates and/or maintains statistics and reporting.
Qualifications:
  • High school diploma or equivalent
  • 1 year of health claims experience, OR one year of customer service/provider service experience in a managed care or healthcare environment.
  • Ability to toggle through multiple systems
  • Strong verbal and written communication skills.
  • Processing Authorizations with Medicare Part C or D experience
  • Basic knowledge of medical terminology, computer literacy, and proficient keyboarding skills are required.
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 HR@Broad-path.com. 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.  

 

Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.  

Job Tags

Temporary work, Remote job, Work from home,

Similar Jobs

Altar'd State

Spring 2026 SOFG Home E-Commerce Marketing & Design Intern Job at Altar'd State

 ...The Role We are seeking a motivated and creative E-commerce Marketing & Design Intern to support the launch of Altard State at...  ...shape our online presence for the February 2025 launch. This internship is ideal for someone who loves both words and visuals and is excited... 

DGA Design, Inc.

Graphic Designer Job at DGA Design, Inc.

 ...materials for a diverse range of clients. We work across various industries including RV, marine, and furniture, as well as with local artists and restaurants. Role Description DGA Design, Inc. is seeking a creative, organized, and motivated Graphic Designer to join... 

APEX TK LLC

Range Safety & Flight Termination Engineer Job at APEX TK LLC

 ...Overview APEX TKis looking for an amazingly talented Range Safety Engineer to join our team! In this role you will get to support the MDA...  ...providing assistance across the targets portfolio with flight termination system and range safety requirements development and... 

Korn Ferry

Paper Mill Operations Manager Job at Korn Ferry

 ...partnered with a global leader in the paper & packaging industry to identify an Operations Manager to lead their Oxnard, California Paper Mill. The role is extremely visible, reporting directly to the Mill Manager, and will oversee Paper Machine, COGEN, and Wet/Dry End... 

Blu Realty

Virtual Data Entry Specialist Job at Blu Realty

 ...Job Title: Data Entry Specialist Location: Remote Position Type: Full-time Salary: $25 - $32hrly Monday to Friday: 9 AM...  ...positions are av ailable, with flexible scheduling across day and night shifts. Benefits: Competitive hourly pay Flexible work...