[Remote] Prior Authorization Specialist - Contract at Philo

Remote

Philo Logo
Not SpecifiedCompensation
N/AExperience Level
N/AJob Type
Not SpecifiedVisa
N/AIndustries

Requirements

  • Experience working in prior authorizations, medical insurance billing, and/or health insurance
  • Ability to successfully navigate between multiple systems
  • Access to reliable, high-speed internet
  • Exceptional written and verbal communication skills
  • Proven team player, but can solve problems independently
  • Easily adapt to new system and workflow changes
  • Customer service experience (preferred)
  • Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)

Responsibilities

  • Verifies patient insurance coverage
  • Submits prior authorizations to insurance plans
  • Troubleshoots prior authorization submissions and prescription processing
  • Verbally assists providers in navigating appeals processing
  • Ensures all pertinent medical documentation is accurate and present
  • Compiles trends in authorization determinations
  • Documents activities appropriately in process notes
  • Works closely with the Customer Support team

Skills

Philo

Subscription-based streaming service for TV channels

About Philo

Philo offers a streaming service that gives users access to over 60 popular TV channels, such as A&E, AMC, and Comedy Central. It operates as an alternative to traditional cable subscriptions, allowing consumers to enjoy a variety of entertainment options without the high costs associated with cable. Users can subscribe to Philo on a monthly basis, and the service includes features like unlimited DVR, enabling them to record shows and watch them later. Philo can be accessed on multiple devices, making it convenient for users to watch their favorite programs anywhere. The company aims to provide a cost-effective and flexible viewing experience, appealing to those looking for a simpler way to enjoy television.

San Francisco, CaliforniaHeadquarters
2011Year Founded
$151.5MTotal Funding
SERIES_DCompany Stage
Consumer Software, EntertainmentIndustries
51-200Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
401(k) Retirement Plan
401(k) Company Match
Flexible Work Hours
Paid Vacation
Paid Sick Leave
Paid Holidays
Parental Leave
Unlimited Paid Time Off
Family Planning Benefits
Fertility Treatment Support
Professional Development Budget
Conference Attendance Budget
Home Office Stipend
Phone/Internet Stipend
Wellness Program
Gym Membership
Commuter Benefits
Employee Discounts
Company Social Events

Risks

Rising content acquisition costs may challenge Philo's low-cost subscription model.
Increased competition from services like Peacock and HBO Max threatens Philo's market share.
Dependence on third-party platforms like Vizio could limit Philo's app availability.

Differentiation

Philo offers a cost-effective alternative to traditional cable with over 60 channels.
The service includes unlimited DVR and multi-device streaming, enhancing user flexibility.
Philo's focus on entertainment channels caters to niche content demand.

Upsides

Philo's partnership with Dish Media expands its addressable advertising reach to over 1 million households.
The addition of new channels like Me TV Plus aligns with growing interest in niche content.
Philo's launch on Vizio smart TVs taps into the 80% smart TV household market.

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