Inbound Outbound Que Associate

Position Summary

This role supports medical prior authorization (precertification) operations by taking inbound calls from members and providers, building cases in multiple systems, and ensuring accurate documentation and HIPAA‑compliant handling of PHI/PII. Ideal candidates bring experience in a health insurance environment, familiarity with medical terminology and clinical workflows, and confidence working in a technology‑driven, multi‑system setting. The role is fully remote from home.

Monday through Friday, 9:00a.m. – 5:30p.m. local time (no time off during the 9‑week training).

Monday through Friday, 11:30a.m. – 8:00p.m. Eastern Time.

• 1+ year of customer service/call‑center experience (healthcare, health insurance, or medical office preferred).
• Familiarity with health insurance concepts and workflows (prior authorization/precertification, utilization management, benefits, claims terminology).
• Working knowledge of HIPAA privacy practices and ability to handle PHI/PII appropriately.
• Comfort navigating multiple computer applications simultaneously (case tools/CRM, web portals) with accurate, fast data entry.
• Strong verbal communication, active listening, documentation, and de‑escalation skills.
• Must be on camera during training.

• 1+ year in a health plan, utilization management, prior authorization, or provider services environment.
• Clinical or medical office background (medical assistant, medical office assistant, patient access, referrals/prior auth coordinator).
• Experience working with provider portals, EHR/EMR systems, or authorization/case management platforms.
• Understanding of common medical codes and terminology (CPT/HCPCS/ICD‑10) and ability to collect the correct clinical documentation (as applicable).
• Familiarity with job aids/process flows including AI‑assisted features.

High School diploma or equivalent.

40 hours per week.

$17.00 – $25.65 per hour (base rate, dependent on experience, education, geography, and other factors).

This full‑time position is eligible for a comprehensive benefits package that includes medical, dental, vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

07/29/2026