[Hiring] Prior Authorization Specialist REMOTE USA
Position: Prior Authorization Specialist
Date Posted: October 23, 2025
Industry: Healthcare / Health-Tech / Pharmacy Support
Employment Type: Contract (4 months) with possibility of full-time employment
Experience: Not Specified
Qualification: Estimated Qualification like Bachelor Degree holder, Diploma/Degree/Certificate; experience in prior authorizations, medical insurance billing, or health insurance preferred
Salary: $22.00 – $25.00 per hour
Location: United States [REMOTE]
Company: Phil, Inc.
Description:
PHIL is seeking a dedicated Prior Authorization Specialist to join our team, supporting pharmacy operations Monday through Friday. This role plays a crucial part in ensuring patients receive timely access to their medications while providing seamless support to prescribing offices. The position begins as a 4-month contract with the potential to transition to full-time employment.
About the Company:
Founded in 2015, PHIL is a San Francisco-based Series D health-tech startup pioneering the first Software Therapy Deployment Platform for Specialty Pharmaceuticals treating complex health conditions. PHIL partners with pharmaceutical manufacturers to offer digital patient access services that improve health outcomes by providing affordable, timely access to high-cost specialty therapeutics. Headquartered in Scottsdale, AZ, with operational hubs in Scottsdale and Columbus, OH, PHIL employs over 120 individuals and plans to double its workforce in the coming year.
Key Responsibilities:
- Verify patient insurance coverage using phone and online resources.
- Submit prior authorizations to insurance plans promptly via electronic portals.
- Troubleshoot prior authorization submissions and prescription processing with healthcare providers.
- Assist providers with the appeals process over the phone.
- Ensure all required medical documentation is accurate and complete before submission.
- Compile trends in authorization determinations for client and prescriber education.
- Document activities appropriately in process notes using company systems.
- Collaborate with Customer Support teams to ensure patient success and smooth workflow.
Requirements:
- Proven team player capable of solving problems independently.
- Exceptional written and verbal communication skills.
- Ability to adapt to new systems and workflow changes.
- Experience with prior authorizations, medical insurance billing, or health insurance required.
- Working knowledge of ICD-10 codes and prescription drug names preferred but not required.
- Ability to navigate multiple systems throughout the workday.
- Flexibility to perform duties as workload demands.
- Customer service experience preferred.
- Access to reliable, high-speed internet for remote processing.
Benefits:
- Ground floor opportunity with one of the fastest-growing health-tech startups.
- Contribute to meaningful work improving patient wellness.
- Medical insurance and additional benefits offered.
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