Job Title: Customer Service Representative II – Prior Authorization

Location: Virtual, Georgia 30339

Duration: 24 Months

Role

Handle insurance verification, benefits, prior authorizations, and patient access for therapies. Work with physician offices, payers, utilization reviewers, sales, and internal teams.

Key Responsibilities

- Verify insurance coverage and benefits and identify prior authorization requirements.
- Initiate and submit prior authorization requests, including clinical notes, forms and supporting documentation.
- Track authorization status and follow up through approval.
- Assist with denials, appeals, retro-authorizations and special cases.
- Communicate with physician offices, payers, utilization reviewers and internal stakeholders.
- Apply knowledge of payer processes, ICD-9/10 and CPT codes.




- Manage multiple inquiries with strong organization, problem-solving and attention to detail.
- Use Excel and CRM systems for tracking and case management.

Must-Have
- Experience with Prior Authorization, Insurance Verification, Advantages Verification or Patient Access.
- Knowledge of healthcare payer processes and prior authorization workflows.
- Familiarity with ICD-9/10 and CPT codes.
- Strong customer service and communication skills.
- Advanced Excel skills and ability to learn multiple CRM systems.
- Strong organization, multitasking, problem-solving and attention to detail.

📌 Customer Service Representative II – Prior Authorization (Goa)
🏢 Artech
📍 Goa