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
-
Sr. Staff Accountant
Maple Grove, MN
Job Title: Sr. Staff Accountant Location: Maple Grove, MN (Hybrid schedule after training, only local candidates in Minnesota will be eligible for consideration) Compensation: $75,000 - $95,000 /annually dependent on applicable experience Benefits: Thi...
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
-
Enterprise IT Project Manager
Elk Grove Village, IL
Title: Enterprise IT Project Manager Location: Chicagoland Area Salary Range: $125,000 – $150,000 Benefits: Medical, Dental, Vision, 401(k), PTO and comprehensive benefits Sponsorship: Position is not eligible for sponsorship A rapidly growing healthca...
Recommended
-
Overnight Patient Access Specialist
Lakewood, WA
Position: Overnight Patient Access Specialist Location: Lakewood, WA - Onsite Pay: $17.00 - $23.00 / Per Hour Hours: 4 days a week 7:30pm-6am, rotating weekends Benefits: This position is eligible for medical, dental, vision, and 401(k) Job Description...
Recommended
-
Patient Access Specialist - Kentucky
Lexington, KY
Position: Overnight Patient Access Specialist - Lexington, KY Location: Onsite in Lexington, KY Pay: $17 - $23 / Hour DOE Benefits: This position is eligible for medical, dental, vision, and 401(k) Hours: 9p-7a, every other weekend Job Description The ...
Recommended
-
Patient Access Specialist
Tacoma, WA
Position: Patient Access Specialist Location: Tacoma, WA - Onsite Pay: $17.00 - $23.00 / Per Hour Hours: M-F 9am-5:30pm Benefits: This position is eligible for medical, dental, vision, and 401(k) Job Description The Patient Access Specialist is respons...
Recommended
-
Live Answer Representative
Charlotte, NC
Job Title: Live Answer Representative Location: Charlotte, NC Compensation: $19.00 – $22.30 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k) benefits. About the Opportunity: Addison Group is seeking Live Answer Represe...
Recommended
-
Retina Billing Specialist
Southlake, TX
Billing Specialist – Retina Location: Fully Remote Pay Range: $24–$30 per hour Schedule: Monday–Friday, 8:00 AM–5:00 PM in the assigned practice's time zone Employment Type: Direct Hire Benefits: Medical, Dental, Vision, 401K About Our Client Addison G...
Recommended
-
Medical Billing Specialist
Houston, TX
Job Title: Medical Billing Specialist Location: Houston, TX (Must be local to Houston) Industry: Healthcare / Revenue Cycle Management Pay: $19–$25 per hour (based on experience) Benefits: This position is eligible for medical, dental, vision, and 401k...
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
-
Legal Assistant
Chicago, IL
Job Title: Legal Assistant Industry: Healthcare Location: Chicago, IL – Near Jefferson Park Assignment Type: Temp-to-Hire Pay: $23 - $25/hour Work Schedule: Monday–Friday, 8:30 AM–5:00 PM | 100% onsite during training with potential for a hybrid schedu...
Recommended
-
HR Coordinator
Washington, DC
Job Title: HR Coordinator Industry: Nonprofit / Professional Association Location (city, state): Washington, DC Assignment Type: Contract — 3–6 months, with potential for extension Pay: $25–$30 per hour (depending on experience) Work Schedule: Monday–F...
Recommended
-
Customer Service Representative
Chicago, IL
Job Title: Customer Service Representative Industry: Distribution 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 times may range...
Recommended
-
Patient Accounts, Customer Service Representative
Greenville, SC
Title: Patient Accounts / Customer Service Representative Location: Greenville, SC (Onsite) Compensation: $17.30 – $24.22 per hour Benefits: This position is eligible for medical, dental, vision, PTO, and 401(k) benefits through Addison Group during th...
Recommended
-
Benefits Manager
Sugar Land, TX
Benefits Manager Position Overview A growing organization is seeking an experienced Benefits Manager to lead and enhance its U.S. employee benefits programs. This role will oversee the strategy, administration, financial performance, compliance, and on...
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 / Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 40...
Recommended
-
Insurance Verification Specialist
Brentwood, TN
Position: Insurance Verification Specialist Location: Brentwood, TN Pay: $21 / hour Industry: Healthcare Benefits: This position is eligible for medical, dental, vision, and 401k. About Our Client Addison Group is partnering with a healthcare organizat...
Recommended
-
Emergency Department Registration Representative
Chicago Metro Area, Illinois
Job Title: Emergency Department Registration Representative Industry: Healthcare / Hospital Location: Chicago, IL Assignment Type: Long-Term Contract-to-Hire Pay: $19.00 – $21.00 / Per hour; Determined on experience Work Schedule: 3:00 PM–11:00 PM; Wed...
Recommended
-
Medical Records Specialist
Illinois
Job Title: Medical Records Specialist Industry: Healthcare Location (City, State): Geneva, IL Assignment Type: Contract-to-Hire Pay: $19.00–$20.00 per hour Work Schedule: Monday–Friday, 8:00 AM–4:30 PM Benefits: This position is eligible for medical, d...
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
-
Skilled Nursing Biller
Chicago Metro Area, Illinois
Job Title: Accounts Receivable Clerk – Skilled Nursing Billing Industry: Healthcare / Senior Care Location: Lemont, IL Assignment Type: Contract-to-Hire Pay: $22.00 – $25.00 / Per hour Work Schedule: Monday–Friday, 8-hour schedule between 7:30 AM and ...
Recommended
-
Bilingual (English-Spanish) Call Center Representative
Tysons, VA
Job Title: Bilingual (English/Spanish) Call Center Representative Industry: Call Center/Non-profit Location (city, state): Tysons, VA (Hybrid role after training) Assignment Type: Contract-to-Hire (long-term contract with potential for conversion) Pay:...
Recommended
-
Revit Integrator (BIM Coordinator) – Contract
Chandler, AZ
Job Title: Revit Integrator (BIM Coordinator) – Contract Location (city, state): Chandler, AZ (85226) Candidates must reside within 60 miles of the Chandler hub. Compensation: $28–$30/hour, with flexibility for highly qualified candidates Benefits: Thi...
Recommended
-
Front Office Coordinator
Durham, NC
Title: Front Office Coordinator Location: Durham, NC Compensation: $20.00 - $21.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract period. About the Opportunity...
Recommended
-
Medical Scheduler
Princeton, NJ
Job Title: Medical Scheduler Location: Princeton, NJ Industry: Healthcare – Patient Scheduling / Call Center Pay: $20 – $22 / hour Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: Our client is a leading he...
Recommended
-
Sales Representative
Columbia, TN
Role: Sales Representative Location: Columbia. TN Employment Type: Contract to hire Pay Rate: $20-25 / hour Benefits: This role is eligible for medical, dental, vision and 401k. About the Role We're looking for a motivated and customer-focused Inside S...
Recommended
-
Dental Patient Service Representative
Philadelphia, PA
Job Title: Dental Patient Service Representative Location: Philadelphia, PA Industry: Community Health / Healthcare Administration Pay: $22 - $26 / Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 401(k) Ab...
Recommended
-
Insurance Follow-Up Representative
Greenville, SC
Title: Insurance Follow-Up Representative Location: Greenville, SC Compensation: $17.50 – $24.50 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits, depending on individual selections and applicable work-hou...
Recommended