Prior Authorization Representative jobs in United States
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LanceSoft, Inc. · 5 hours ago

Prior Authorization Representative

LanceSoft, Inc. is one of the largest staffing firms in the US, dedicated to connecting businesses with the right people. They are seeking a Prior Authorization Representative to handle incoming calls from members and providers, assist with the prior authorization process, and maintain documentation of approvals and denials.

Information Technology
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Providing professional phone assistance to all callers through the criteria based prior authorization process
Maintaining complete, timely and accurate documentation of all approvals and denials
Transferring all clinical questions and judgment calls to the pharmacist

Qualification

Pharmacy technician certificationCall center experienceAdvanced computer skillsCustomer service skillsDocumentation skills

Required

At least 1 year experience as a pharmacy technician coordinating activities in an administrative support function
Must have call center experience
Minimum (1) year experience required in a customer service position with high volume call center experience in healthcare, social services, or a similar service position
Verifiable High School diploma or GED is required
Advanced computer skills including word processing and spreadsheet utilization
Excellent customer service skills (written and verbal) a must

Preferred

National pharmacy technician certification preferred
Eligible for state registration, certification or licensure per state regulations

Benefits

Four options of medical Insurance
Dental and Vision Insurance
401k Contributions
Critical Illness Insurance
Voluntary Permanent Life Insurance
Accident Insurance
Other Employee Perks

Company

LanceSoft, Inc.

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Established in 2000, LanceSoft is a pioneer in delivering top-notch Global Workforce Solutions and IT Services to a diverse clientele.

H1B Sponsorship

LanceSoft, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (55)
2024 (32)
2023 (23)
2022 (25)
2021 (60)
2020 (80)

Funding

Current Stage
Late Stage

Leadership Team

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Ram Karuppusamy
Chairman & CEO
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Simon Dealy
Chief Financial Officer
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Company data provided by crunchbase