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Medication Prior Authorization Specialist – Remote Independent Contractor

Work from home Full-time role Hiring

Choose your own hours, control your earnings! Are you experienced in medication prior authorizations and looking for remote, flexible work? Phoenix Practice Solutions is seeking experienced Independent Contractors to help providers obtain medication authorizations for patients. This is a great opportunity for someone who enjoys working independently, understands insurance requirements, and wants the ability to control their schedule and earnings. Position Overview This is a remote Independent Contractor position. You may choose your own hours between 8:00 AM and 6:00 PM, Monday through Friday, with a minimum of 4 hours per day. You may also work longer hours if you choose. Our greatest need is coverage until 5:00 or 6:00 PM EST. Medication authorizations are one of the fastest-growing areas in healthcare. Providers need support with authorizations for weight loss medications, biologics, chemotherapeutics, infusion therapies, and buy-and-bill medications. If you have this experience, there is strong potential for steady work and increased earnings. Pay and Earnings Pay is transaction-based, meaning each case you accept and complete is a paid project. Estimated pay range: Approximately $400 to $1,000+ per week, based on production and bonus. The more cases you complete, the higher your earning potential. Higher production may qualify for higher bonus rates per pay period. Many contractors earn the equivalent of approximately $20 to $30+ per hour, depending on their speed, accuracy, and production. You will invoice for your completed transactions. Orientation and Training Remote paid orientation is provided for a few days, with the length based on assessment at the time of start. During orientation, you will learn the client protocols and EMR documentation requirements. Orientation is generally 4 hours per day. Once orientation is completed and you have successfully passed QA, you may choose your schedule, increase your hours beyond the 4-hour minimum if desired, and begin building your production and bonus potential. As this is an Independent Contractor position, applicants should already have the skills and experience needed to perform medication authorization work.

Responsibilities

Responsibilities include:

  • Reviewing medical records in the client’s EMR
  • Obtaining medication authorizations from insurance carriers
  • Providing clinical information by phone and through online portals
  • Documenting authorization outcomes accurately
  • Following client protocols and payer requirements
  • Working independently and managing accepted cases efficiently

Phoenix will provide helpful hints, shortcuts, and guidance to help you move through the authorization process effectively.

Qualifications

Applicants must have:

  • Minimum 3 years of experience with medication prior authorizations and medical terminology in a medical office, clinical setting, infusion/therapy center, facility.
  • Experience providing clinical information to insurance carriers by phone and online
  • Experience with medication authorizations, especially:
  • Infusion therapies
  • Chemotherapy
  • Biologics
  • Buy-and-bill medications
  • Prior EMR experience
  • Experience with online portals such as Availity, Evicore, or similar platforms is a plus
  • Strong computer skills, including working with multiple windows and browsers at the same time
  • Microsoft Office experience
  • Professional phone presence
  • Strong grammar and spelling
  • Excellent attention to detail
  • Strong organizational skills
  • Ability to multitask and work independently

Technical Requirements Applicants must have:

  • Own or leased Microsoft Office
  • Two computer monitors, mandatory for productivity and higher earning potential
  • High-speed internet access
  • No hotspots
  • No satellite internet
  • Computer and internet speed that meet company requirements
  • Minimum 8 GB RAM
  • Minimum 2 GHz processing speed
  • PC or Mac accepted, laptop or desktop

Computers will be tested for processor speed and internet speed. Only applicants with sufficient equipment and internet speed will be considered. Job Types: Full or Part time, Contract Work Location: Remote Job Types: Full-time, Part-time, Contract Pay: $400.00 - $1,000.00 per week Application Question(s):

  • Have you personally initiated medication authorizations and spoken with insurance carriers to provide clinical information?
  • Are you available for remote daytime orientation/training, Monday through Friday, during business hours?
  • Which medication authorization types have you worked with?
  • Which medical settings have you previously worked in?

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