Prior Authorization Pharmacy Technician (Seasonal)
SmithRxSalary not specified
Full Time
Entry Level & New Grad
$95,000 – $106,200Compensation
Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Mental Health, Health InsuranceIndustries
Requirements
Candidates must possess over 5 years of experience in health insurance or payer environments, including commercial/private and government sectors, with a strong understanding of reimbursement and revenue cycle management. Expertise in process building, optimization tools, and cross-functional problem-solving is required, along with experience managing direct reports in offshore and/or onshore teams. Preferred qualifications include 1+ years in a high-growth startup, technical fluency with platforms like Google Suite, Zendesk, Salesforce, or EHRs, moderate analytical proficiency, and prior experience managing prior authorization processes.
Responsibilities
The Authorization Manager will report to the Sr. Financial Operations Manager and collaborate with the Verification of Benefits and Insurance AR team to propose process and product changes that ensure patients have necessary authorizations for care. This role is critical in developing and honing Rula's prior authorization function as the company contracts with new payers and adds new plans. The manager will play a pivotal role in developing and refining this function, which is a critical front-end operation for Rula’s revenue cycle.
Skills
Health Insurance
Payer Relations
Reimbursement
Revenue Cycle Management
Process Optimization
Cross-functional Collaboration
Prioritization
Communication
Team Management
Authorization Processes
Rula
Telehealth platform for mental health services
About Rula
Rula operates in the telehealth market, focusing on mental health services. The platform helps individuals find suitable therapists by matching them based on their preferences, insurance information, and specific needs. Rula partners with major insurance carriers to offer affordable mental healthcare, making it accessible to a wider audience. The company has a network of over 8,000 licensed therapists, ensuring high-quality care through thorough background checks and clinical reviews. Clients can connect with therapists via live video sessions, providing convenience and flexibility. Rula's goal is to simplify the process of accessing mental health support and to make therapy more affordable for everyone.
Los Angeles, CaliforniaHeadquarters
2019Year Founded
$107.9MTotal Funding
SERIES_BCompany Stage
Enterprise Software, HealthcareIndustries
201-500Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Health Savings Account/Flexible Spending Account
Unlimited Paid Time Off
Remote Work Options
401(k) Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Parental Leave
Mental Health Support
Home Office Stipend
Phone/Internet Stipend
Wellness Program
Risks
Increased competition from telehealth startups may erode Rula's market share.
Rapid provider network expansion could challenge consistent quality of care.
Reliance on insurance partnerships risks changes in reimbursement policies.
Differentiation
Rula offers a network of over 10,000 diverse, licensed mental health providers.
Rula's partnerships with major insurers ensure affordable care for over 120 million people.
Rula provides next-day therapy availability and 24/7 crisis support across the U.S.
Upsides
Partnership with Amino Health expands Rula's reach and patient acquisition potential.
Collaboration with Amazon enhances visibility and accessibility for mental health services.
Doug Newton's appointment as CMO strengthens clinical strategies and patient care quality.
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