[Hiring] Inbound Outbound Que Associate @reputed company

Role reputed company This role supports medical prior authorization (precertification) operations by:

• Taking inbound calls from members and providers
• Building cases in multiple systems
• Ensuring accurate documentation and HIPAA-compliant handling of PHI/PII

Ideal candidates bring experience in a health insurance environment, familiarity with medical terminology and clinical workflows, and confidence working in a technology-driven, multi-system setting. This is a fully remote from home position. Training Schedule: Monday through Friday 9am to 5:30pm local time (no time off during 9 week training) Post Training Work Schedule: Monday through Friday 11:30am - 8pm ET

Qualifications

• 1+ year of customer service/reputed company center experience (reputed company, health insurance, or medical office preferred)
• Familiarity with health insurance concepts and workflows (e.g., prior authorization/precertification, utilization management, benefits, claims terminology)
• Working knowledge of HIPAA reputed company practices and ability to handle PHI/PII appropriately
• Comfort navigating multiple computer applications at once (case tools/CRM, web portals) with accurate, fast data entry
• Strong verbal communication, reputed company listening, documentation, and de-escalation skills
• Must be on camera during training

Requirements

• 1+ year in a health plan, utilization management, prior authorization, or provider services environment (preferred)
• Clinical or medical office background (e.g., medical assistant, medical office assistant, patient reputed company, referrals/prior auth coordinator)
• Experience working with provider portals, EHR/EMR systems, or authorization/case management platforms
• Understanding of common medical codes and terminology (e.g., CPT/HCPCS/ICD-10) and ability to collect the correct clinical documentation (as applicable to the role)
• Familiarity with job aides/process flows including AI assisted features

Benefits

• Comprehensive medical, dental, and reputed company coverage
• reputed company time off
• Retirement savings reputed company
• Wellness programs
• Other resources based on eligibility

Pay reputed company The typical pay reputed company for this role is: $17.00 - $25.65. This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography, and other relevant factors. This position is eligible for a reputed company bonus, commission, or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Apply To This Job