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Prior Authorization Representative

Work from home Full-time role Hiring

Overview

BroadPath is excited to announce that we are hiring for work-at-home positions! Prior Authorization Representatives will receive inbound phone calls and faxes from members, doctors' offices, or other departments requesting information on prescribed medications prior authorizations only. The representatives will manage the prior authorization process for medications and provide updates on approval status.

Compensation

Highlights

  • Base Pay:
  • $16.00 per hour for training and nesting
  • $16.50 per hour for production
  • Bonus opportunities! Earn up to $2 more per hour during the 2-week training and 2-week nesting period by meeting performance and attendance requirements
  • * Incentives are tied to metrics such as QA scores, accuracy, schedule adherence, and attendance. Full details will be provided during training. This brings your potential Training and Nesting pay rate up to $18 per hour!
  • Pay frequency: Weekly pay!

Schedule Highlights

  • This is a full-time, steady state role with no pre-determined end date. No weekend work required!
  • Training Schedule: Monday-Friday, 7:30am-4:00pm Central Time
  • Production Schedule: Monday-Friday, 7:00am-8:00pm Central Time

Responsibilities

  • 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

  • 1+ years of healthcare, claims, or medical administrative work experience
  • 2+ years of customer service or call center experience
  • 6+ months of recent continuous employment with previous employer
  • 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. 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. Apply tot his job Apply To this Job

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