Prior Authorizations Representative
Elk Grove Village, IL
Category: Healthcare
Reference ID: 10081464
Shortcut: http://addisongroup.gosnaphop.com/luWIKS
Job Title: Prior Authorization Representative
Industry: Healthcare / Specialty Pharmacy
Location: Elk Grove Village, IL
Assignment Type: Contract-to-Hire
Pay: $21.00 – $23.00 / per hour, based on pharmacy technician credentials
Work Schedule: Monday–Friday, 8-hour day shift; hybrid schedule after training
Benefits: This position is eligible for medical, dental, vision, and 401(k).
About The Company:
A rapidly expanding healthcare organization is seeking Prior Authorization Representatives to support patients navigating prescription insurance and authorization requirements. This is an excellent opportunity for professionals looking to build or expand their experience in pharmacy benefits, healthcare insurance, and specialty pharmacy operations.
Job Description:
The Prior Authorization Representative will manage the authorization process for prescription medications by working with insurance providers, pharmacies, and physician offices. This position requires strong attention to detail, effective communication skills, and the ability to manage multiple cases while meeting established deadlines.
Key Responsibilities:
- Review insurance and pharmacy benefit information to determine authorization requirements.
- Communicate with insurance carriers to clarify coverage and authorization criteria.
- Partner with physician offices to collect prescriptions and necessary clinical records.
- Evaluate submitted documentation for completeness and accuracy.
- Submit authorization requests through electronic insurance platforms.
- Track open cases and conduct timely follow-ups on pending requests.
- Communicate urgent case updates to appropriate internal teams.
- Document authorization decisions and maintain accurate case records.
- Process complex authorization requests and renewal cases.
- Monitor upcoming expiration dates and begin renewal requests in advance.
- Follow established quality, productivity, and compliance standards.
Qualifications:
- Prior authorization experience is strongly preferred.
- Pharmacy technician experience or licensing is highly desirable.
- Candidates with retail pharmacy experience may be considered.
- Experience with pharmacy benefits, healthcare insurance, or medical office procedures is preferred.
- Familiarity with insurance portals and electronic authorization systems.
- Basic understanding of pharmacy and healthcare terminology.
- Strong organizational and follow-through skills.
- Ability to work independently and prioritize multiple assignments.
- Comfortable receiving feedback and learning new processes and systems.
Additional Details:
- Multiple positions are currently available.
- Initial training is conducted onsite for approximately four weeks.
- Following training, employees transition to a flexible hybrid schedule.
- Regular schedule is generally 2 days onsite and 3 days remote per week.
- Free onsite parking is available.
- Business casual dress environment.
- Upon a conditional offer of employment, the position requires a background check and drug screening.
- Virtual interview process.
Perks:
- Contract-to-hire opportunity with potential for long-term employment.
- Comprehensive paid training and onboarding.
- Flexible hybrid work arrangement after training.
- Opportunity to gain valuable experience in specialty pharmacy and healthcare insurance.
- Supportive team environment with opportunities for professional development.
- Pharmacy technician compensation of $21/hour for licensed, non-certified technicians and $23/hour for certified pharmacy technicians.
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.
#HC2
-
Customer Service Account Manager
Elk Grove Village, IL
Job Title: Customer Service Account Manager Industry: Manufacturing Location (city, state): Elk Grove Village, IL Assignment Type: Direct Hire Pay: $65,000 – $72,000 / year Work Schedule: Monday–Friday, standard business hours; hybrid schedule with one...
Recommended
-
Project Coordinator
Buffalo Grove, IL
Project Coordinator Industry: Telecommunications Location (city, state): Chicagoland, IL Assignment Type: Temp-to-Hire with potential for Direct Hire for highly qualified candidates Pay: $21.63–$25.00 per hour, with overtime opportunities Work Schedule...
Recommended
-
Client Success Manager
Elk Grove Village, IL
Job Title: Client Success Manager Industry: Supply Chain & Logistics Location (city, state): Elk Grove Village, IL Assignment Type: Direct Hire Pay: $60,000–$70,000 annually, plus a discretionary bonus based on individual and company performance Work S...
Recommended
-
Project Assistant
Buffalo Grove, IL
Project Assistant Industry: Telecommunications Location (city, state): Chicagoland, IL Assignment Type: Temp-to-Hire with potential for Direct Hire for highly qualified candidates Pay: $18.00–$20.00 per hour, with overtime opportunities Work Schedule: ...
Recommended
-
Staff Accountant
Maple Grove, MN
Job Title: Sr. Staff Accountant Location: Golden Valley, MN (Hybrid schedule after training, only local candidates in Minnesota will be eligible for consideration) Compensation: $75,000 - $85,000 / year dependent on applicable experience Benefits: This...
Recommended
-
Pre-Certification Specialist
Houston, TX
Job title: Pre-Certification Specialist Location (city, state): Houston, TX Industry: Healthcare / Revenue Cycle / Prior Authorizations Pay: $23–$24/hour Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About Ou...
Recommended
-
Insurance Verification Specialist
Pennsylvania
Job Title: Insurance Verification Specialist Location: Bethlehem, PA (Fully Onsite) Industry: Healthcare / Specialty Billing Pay: $20.00 – $23.00 / Per Hour Benefits: The position is eligible for medical, dental, vision, and 401(k) About Our Client: Ou...
Recommended
-
Assembler
Downers Grove, IL
Position Overview We are seeking a dependable and detail-oriented Assembler to join a well-established manufacturing organization in the Naperville area. This position is responsible for assembling mechanical and electrical components, completing finis...
Recommended
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist Location: Phoenix, AZ 85008 Industry: Healthcare / Revenue Cycle Management Pay: $18.00 – $20.00 per hour, depending on experience Schedule: Monday–Friday, 8:00 AM–4:30 PM Benefits: This position is eligible...
Recommended
-
Insurance Verification Specialist
Dallas, TX
Job Title: Insurance Verification Specialist Location: Dallas, TX Pay: $19-$24/hour Schedule: Monday-Friday, 8:00 AM-4:30 PM Alternative Schedule: 7:30 AM-4:00 PM may be available Position Type: Contract-to-Hire Work Arrangement: Fully Onsite Start Dat...
Recommended
-
Patient Access Specialist - Gig Harbor, WA
Gig Harbor, WA
Position: Patient Access Specialist - Gig Harbor, WA Location: Onsite in Gig Harbor, WA Pay: $17 - $24 / Hour DOE Benefits: This position is eligible for medical, dental, vision, and 401(k) Hours: Monday-Friday 7:30am-4pm OR Three 10-hour shifts 2:30pm...
Recommended
-
Medical Billing Specialist
North Chicago, IL
Job Title: Medical Billing Specialist Industry: Healthcare Location (city, state): North Chicago, IL Assignment Type: Direct Hire Pay: $18.88 – $22.50 / hour, based on experience. Candidates with extensive specialty billing experience may be considered...
Recommended
-
Healthcare Customer Service Representative
Rockville, MD
Job title: Healthcare Customer Service Representative Location (city, state): Rockville, MD - Fully Onsite Industry: Healthcare / Health Benefits / Customer Service Pay: $25–$28/hour Benefits: This position is eligible for medical, dental, vision, life...
Recommended
-
Retina Billing Specialist
Southlake, TX
Role: Billing Specialist - Retina Location: Fully Remote Pay Range: $24 – $30 / hour Schedule: Monday–Friday, 8:00 AM–5:00 PM in the assigned practice's time zone Employment Type: Direct Hire Benefits: This role is eligible for medical, dental, vision ...
Recommended
-
LOA Administrator
Southlake, TX
Job Title: LOA Administrator Location: Grapevine, TX Work Schedule: Hybrid (3 days onsite / 2 days remote), Monday – Friday, 8:00 AM – 5:00 PM Type of Employment: Contract Compensation: $30 - 32 / hour Industry: Healthcare Benefits: This position is el...
Recommended
-
Reimbursement Specialist
Westchester, IL
Job Title: Reimbursement Specialist – Liability Industry: Healthcare / Medical Billing Location: Westchester, IL (Hybrid) Assignment Type: Direct Hire Pay: $22 – $26 / hour (up to $27/hour based on experience) Work Schedule: Full-time, Monday–Friday wi...
Recommended
-
Patient Access Specialist
Lincoln, NE
Position: Patient Access Specialist - Lincoln, NE Location: Onsite in Lincoln, NE Pay: $17 - $22 / Hour DOE Benefits: This position is eligible for medical, dental, vision, and 401(k) Hours: 7am-7pm or 7pm-7am Job Description The Patient Access Special...
Recommended
-
Medical Billing Specialist
Charlotte, NC
Title: Medical Billing Specialist Location: Charlotte, NC (Hybrid after training) Compensation: $24.00 - $25.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract ...
Recommended
-
Customer Service Representative
Rockville, MD
Job Title: Participant Advocate / Customer Service Representative Industry: Healthcare Benefits / Insurance Location (City, State): Rockville, MD Assignment Type: Contract-to-Hire; anticipated conversion after approximately 6–8 months Pay: $23.00–$27.0...
Recommended
-
Customer Service Representative
Chicago, IL
Job Title: Customer Service Representative Industry: Distribution/Manufacturing Location (city, state): Rosemont, IL Assignment Type: Contract-to-Hire Pay: $21 – $21.50 / hour Work Schedule: Monday–Friday; call center hours are 7:00 AM–7:00 PM. Start t...
Recommended
-
Medical Front Desk Receptionist
Tulsa, OK
Job title: Medical Front Desk Receptionist Location: Tulsa, OK – Multiple Locations Industry: Healthcare / Behavioral Health Pay: $18.00 / Per hour Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. About Our Clie...
Recommended
-
Patient Access Specialist
Chattanooga, TN
Job Title: Patient Access Specialist Industry: Healthcare Location (City, State): Chattanooga, TN Compensation: $17 - $21 / hour (DOE) Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. Work Schedule: Full Time About ...
Recommended
-
Bilingual Patient Service Representative
Wilmington, DE
Job Title: Bilingual Patient Service Representative Location: Wilmington, DE Industry: Community Health / Healthcare Administration Pay: $15.00 – $17.00 / Per Hour (based on experience) Benefits: This position is eligible for medical, dental, vision, a...
Recommended
-
Bilingual Patient Service Representative
Wilmington, DE
Job Title: Bilingual Patient Service Representative Location: Wilmington, DE Industry: Community Health / Healthcare Administration Pay: $15.00 – $17.00 / Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 40...
Recommended
-
Intake Support Specialist
Schertz, TX
Job Title: Intake Support Specialist Location: Schertz, TX (Onsite) Industry: Healthcare Pay range: $20.00 – $23.00 / Per hour Assignment type: Contract-to-Hire | Full-Time | Monday–Friday | 8:00 AM – 5:00 PM Benefits: This position is eligible for med...
Recommended
-
Customer Experience Center Associate
Hoffman Estates, IL
Role: Customer Experience Center Associate Industry: Medical Equipment / Healthcare Support Location (city, state): Hoffman Estates, IL Assignment Type: Contract, open-ended with potential for permanent hire based on performance Pay: $23 – $25 / hour W...
Recommended
-
Full-Cycle Billing Specialist
Texas
Job title: Full-Cycle Billing Specialist Location: Texas Industry: Healthcare / Infusion Revenue Cycle Pay: $22.00 - $26.00 / Per Hour (Based on years of experience) Benefits: This position is eligible for medical, dental, vision, life insurance and 40...
Recommended
-
Patient Service Representative
Austin, TX
Patient Service Representative Location: Remote (must reside in one of the following states to be considered TX, FL, GA, IN, KY, MS, MO, NC, OH, and SC) Schedule: Monday-Friday, full-time schedule. Training schedule is 8:00 AM - 5:00 PM Eastern Time, w...
Recommended
-
Bilingual (English-Spanish) Customer Service Specialist
McLean, VA
Job Title: Bilngual (English/Spanish) Customer Service Representative Industry: Consumer Services / Dispute Resolution Location (city, state): McLean, VA Assignment Type: Contract-to-Hire | Long-term contract assignment Pay: $25.00 – $26.00 / hour Work...
Recommended
-
Provider Enrollment Specialist
Houston, TX
Job title: Provider Enrollment Specialist Location (city, state): West Houston (Hybrid – One Week Onsite / One Week Remote) Industry: Healthcare / Provider Enrollment & Credentialing Pay: $21–$25/hour, based on experience Benefits: This position is eli...
Recommended