Remote Prior Authorization Representative Express Scripts Jobs in Virginia

Description

Patient Enrollment Representative (Remote)

Fully Remote US Remote Patient Enrollment Team

Company Overview

Over the next ten years, there will be at least 4.6 million hospitalizations from the misuse of prescription drugs in people 65 or older, resulting in $528 billion in annual avoidable costs. RxAnte is on a mission to improve people's health by helping them get more from medicines. A rapidly growing, tech-enabled healthcare services company with over 30 million lives under management, RxAnte has become a leading provider of value-based pharmacy care management solutions for health plans.

RxAnte launched Mosaic Pharmacy Service in 2019, a wholly owned subsidiary designed to offer pharmacy and chronic care management services for our clients' most medically complex and vulnerable members. Using data, advanced analytics, specialized software, and pharmacy automation, Mosaic is transforming the pharmacy experience for medically complex seniors while also helping payers achieve their quality improvement and cost savings objectives.

How You'll Make a Difference

In this role, you will work at the frontline of Mosaic's growth, calling prospective patients and their caregivers to explain how Mosaic works and guiding them through enrollment so more seniors can start getting more from their medicines.

Your work directly supports medically complex and vulnerable seniors across the country, connecting them to a patient-focused, pharmacist-driven pharmacy that simplifies their medications and helps them feel better about the care they receive every day.

What You'll Do

• Make an average of 120 outbound calls per day to prospective patients, using call center technology to educate, answer questions, enroll patients, and schedule an onboarding call with a pharmacy technician.
• Guide prospective patients through the enrollment process using an approved script, making sure they understand the steps and commitment to becoming a Mosaic patient.
• Accept and respond to inbound calls from prospective and current patients, completing each call according to procedure.
• Make follow-up calls to reschedule patients, confirm appointments, and ensure onboarding steps are completed.
• Document interactions, outcomes, and enrollment appointments accurately in Mosaic's systems.
• Use multiple communication channels, including digital messages, to move patients through onboarding on time.
• Collaborate with provider and doctors' offices to review onboarding status and support a smooth transition into Mosaic's services.
• Escalate patient complaints or concerns promptly to the appropriate supervisor.
• Meet department performance metrics, including outbound call volume, appointments scheduled per day, schedule adherence, and quality targets.
• Protect patient confidentiality and follow all applicable laws and organizational guidelines.

Compensation

The expected pay range for this position is $18.00 to $20.00 per hour. This role is also eligible for a quarterly incentive program. Actual compensation within the range is determined by factors including experience, skills, and internal equity.

Benefits

RxAnte and Mosaic Pharmacy Service offer a comprehensive benefits package designed to support your health, financial security, and work-life balance. Highlights include:

• Medical, dental, and vision coverage with prescription benefits, with Company paying 100% of the employee-only premium
• A Health Savings Account with company contributions
• A 401(k) retirement plan with an employer match
• Company-paid life, long-term disability, and accidental death and dismemberment insurance, with voluntary short-term disability available
• An Employee Assistance Program and a benefits Customer Advocate service
• Paid time off and paid company holidays
• Company-provided equipment
• Support for professional development and training

Equal Employment Opportunity

RxAnte, and subsidiary Mosaic Pharmacy Service, are equal opportunity employers. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law.

Recruitment Fraud Notice

All legitimate RxAnte and Mosaic Pharmacy Service job opportunities are posted on our official careers page, and our recruiters will only contact you from official company email addresses. We will never ask candidates for payment, banking information, or personal financial details at any stage of the recruitment process. Offers of employment are always issued through our formal HR process, never via messaging apps.

Requirements

What We're Looking For

Required

• At least 1 year of contact center, patient-facing provider office, or customer service experience.
• Proven ability to manage a high volume of outbound calls while consistently meeting performance targets.
• Strong, persuasive, and empathetic communication style with the ability to build rapport quickly and explain a service clearly by phone.
• Comfort following approved scripts to ensure clarity, consistency, and compliance.
• Exceptional attention to detail and accurate data entry for clear documentation.
• Discretion and care when handling sensitive or confidential patient information.
• Ability to work independently from a dedicated, distraction-free home office and handle continuous calls throughout the workday.
• Reliable home internet of at least 100 Mbps with wired ethernet access. Mosaic provides the computer equipment; you provide your own workspace furniture and a secure, quiet space. Applicants within 30 miles of Sterling, Virginia may be asked to come on site for training or technology support.
• Availability to work assigned shifts Monday through Friday between 9:00 a.m. and 6:30 p.m. Eastern, plus Saturday 10:00 a.m. to 2:00 p.m. Schedule assigned upon hire.
• Must be authorized to work in the U.S. without company-sponsored visa sponsorship.

Preferred

• Prior experience with CRM systems and enrollment communications.
• Pharmacy experience.
• Bilingual English and Spanish.

Conditions of Employment

All offers of employment are contingent upon the successful completion of a comprehensive background check and pre-employment drug screening.