Prior Authorization Specialist at PHIL (Remote)
PHIL· $19–$22/hr·
Role details
Remote Work Environment · Opportunity In Fast-Growing Health-Tech Startup
Summary
The Prior Authorization Specialist verifies patient insurance coverage, submits prior authorizations via electronic portals, and troubleshoots submissions with healthcare providers. The role involves ensuring accurate medical documentation, assisting with appeals, and collaborating with customer support to improve m...
Job description
PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday through Friday shifts.
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 that treat complex health conditions. Our mission is to ensure consistent, reliable and affordable access to complex therapeutics for our patient community. Partnering with pharmaceutical manufacturers, PHIL offers digital patient access services to improve health outcomes for patients by delivering affordable and timely access to high-cost Specialty therapeutics. We recently completed our Series D financing led by Warburg Pincus, with $122M in capital raised to date with near-term line of sight to profitability. Headquartered in Scottsdale with operational hubs in Scottsdale AZ and Columbus, OH, the company currently employs over 120 individuals and expects to double its employee base in the coming year. For more information on PHIL, visit phil.us
Position Overview
The most important goal here at PHIL is to improve patients' medication adherence by offering a quick and effortless way for patients to get their medications on time. Prior Authorization Specialists ensure that prescribing offices have all of the information that they need in order to efficiently complete electronic coverage requests in addition to providing phone and email support.
Job Duties:
- Verifies patient insurance coverage utilizing phone or online resources
- Submit prior authorizations to insurance plans in a timely manner via electronic portal
- Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources
- Verbally assist providers in navigating appeals processing
- Ensures all pertinent medical documentation is accurate and present prior to authorization submission
- Compiles trends in authorization determinations for client and prescriber education
- Document activities appropriately in process notes using our operating system
- Work closely with our Customer Support team to ensure the success of patients that are recommended to us by their physician's office
Requirements
- Proven team player, but can solve problems independently as well
- Exceptional written and verbal communication skills
- Easily adapt to new system and workflow changes
- Demonstrate experience working in prior authorizations, medical insurance billing, and/or health insurance (required)
- Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)
- Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals
- Demonstrate flexibility to perform duties wherever volume deems it necessary
- Customer service experience (preferred)
- Access to reliable, high-speed internet to meet the needs of remote processing (required)
- Reliable transportation and ability to work in office as required
Benefits
- Ground floor opportunity with one of the fastest-growing startups in health-tech
- Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV
- Solve a problem that matters: be part of a company that uniquely leverages technology to bring wellness to all of its stakeholders
Why work at PHIL
- Mission‑Driven Environment: Opportunity to directly improve patient access to medications and reduce healthcare costs.
- High‑Growth Trajectory: Rapidly expanding company (3x+ revenue growth, 20x cash dispense growth) with significant investment and scale.
- Technology‑Forward: Work with AI, data analytics, and modern digital health infrastructure.
- Location: Corporate headquarters in Scottsdale, AZ (the office is at 14500 N Northsight Blvd, Suite 307). The company appears to be office‑based, though specific remote/hybrid policies are not publicly stated.
- Culture: Leadership team includes experienced executives from healthcare, technology, and operations. Company surveys show high patient and partner satisfaction (“industry‑leading satisfaction scores”).