Supporting a high-volume Prior Authorization and Appeals team for pharmacy benefits, the full-time Remote Prior Authorization LVN will process and communicate commercial prior authorizations, manage calls, and review clinical criteria while working in a metrics-driven environment. Key Responsibilities Process and communicate Commercial Prior Authorizations and Appeals Manage inbound/outbound calls while meeting productivity and quality expectations Review clinical criteria and supporting documentation, documenting determinations accurately Required Qualifications Active, unrestricted LVN/LPN license in the state of residence 2+ years of recent prior authorization experience in a PBM, medical office, or clinical setting Experience applying clinical criteria and supporting documentation for PA decisions Strong written and verbal communication skills
Remote Prior Authorization LVN in workfromhome at Unknown Company
- Typical pay
- $79,300–$99,840
For context, most lpns earn between $79,300–$99,840 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.