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Remote Vision Insurance Jobs in Phoenix, AZ (NOW HIRING)

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Remote Vision Insurance information

What is a remote vision insurance?

A Remote Vision Insurance job typically involves processing vision insurance claims, verifying patient benefits, or assisting customers with their vision coverage, all while working from a remote location. Responsibilities may include handling customer inquiries, coordinating with providers, and ensuring accurate billing and claim submissions. This role often requires knowledge of vision insurance policies, strong communication skills, and proficiency with relevant software. Many employers seek candidates with prior experience in insurance, healthcare, or customer service.

What are some common challenges faced in a remote vision insurance position, and how are they addressed?

One of the main challenges in a remote vision insurance position is maintaining clear communication with clients and team members without in-person interaction. To address this, professionals rely heavily on secure digital communication platforms, regular video meetings, and detailed documentation to ensure everyone stays informed. Managing complex claims and staying updated on policy changes can also be demanding, but ongoing training and a supportive team environment help address these issues. Many companies provide robust onboarding, regular check-ins, and access to resources, so remote employees can navigate challenges effectively and deliver excellent service.

What are the key skills and qualifications needed to thrive in the remote vision insurance position, and why are they important?

To excel in a Remote Vision Insurance role, you need a strong understanding of vision insurance policies, claims processing, and customer service, typically backed by experience in the insurance industry. Familiarity with insurance management software and secure telecommunication tools is often required, and certification such as a state insurance license may be preferred. Excellent communication, problem-solving, and organization skills help you succeed in a remote environment and handle client inquiries efficiently. These competencies are essential for ensuring accuracy, regulatory compliance, and high-quality support in a client-focused, remote work setting.

What are popular job titles related to Remote Vision Insurance jobs in Phoenix, AZ?

For Remote Vision Insurance jobs in Phoenix, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Vision Insurance jobs in Phoenix, AZ look for?

The top searched job categories for Remote Vision Insurance jobs in Phoenix, AZ are:

What cities near Phoenix, AZ are hiring for Remote Vision Insurance jobs?

Cities near Phoenix, AZ with the most Remote Vision Insurance job openings:

Remote Vision Insurance jobs near you
Infographic showing various Remote Vision Insurance job openings in Phoenix, AZ as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Remote Pharmacist - Prior Authorization / PBM Experience

A-Line Staffing Solutions

Phoenix, AZ • Remote

$53 - $55/hr

Full-time

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Pay: $53.00 per hour

Job description:

Remote Pharmacist – Prior Authorization / PBM Experience

Pay Rate: $53.00/hr

Start Dates

  • October 12th
  • October 26th

Training Requirements

  • Mandatory paid training is held Monday – Friday, 9:00 AM – 5:30 PM EST for approximately 8–10 weeks.
  • Attendance is mandatory during training. No planned vacation or scheduling conflicts are permitted during this period.
  • Candidates must be available for the entire training schedule before accepting the assignment.
  • Camera must remain on during all virtual training sessions, supervisor meetings, and team meetings.

Schedule

Business Hours:

  • Monday – Friday: 7:00 AM – 8:00 PM EST
  • Saturday & Sunday: 7:00 AM – 4:30 PM EST

Schedule Type: Set Rotation

After training, candidates will be assigned an 8-hour shift based on business needs, which will include either:

  • One weekend day each week, or
  • A rotating weekend schedule.

Job Summary

We are seeking a licensed Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage Determination team. This role is responsible for reviewing pharmacy benefit requests, interpreting clinical criteria, evaluating Medicare Part D coverage determinations, and ensuring accurate, timely decisions while maintaining compliance with regulatory requirements.

The ideal candidate has experience in Pharmacy Benefit Management (PBM), prior authorizations, managed care, or clinical pharmacy operations and thrives in a productivity-driven remote environment with strict turnaround times.

This is a Safety Sensitive position.

Key Responsibilities

  • Review and evaluate prior authorization and coverage determination requests.
  • Interpret Medicare Part D guidelines, formulary requirements, and clinical criteria.
  • Apply evidence-based clinical judgment using drug information resources and clinical compendia.
  • Ensure compliance with CMS regulations, plan policies, and pharmacy benefit guidelines.
  • Document case reviews accurately and maintain audit-ready records.
  • Manage a high-volume case queue while meeting quality and productivity standards.
  • Perform provider outreach as needed to obtain clinical information or clarify requests.
  • Navigate multiple applications simultaneously while documenting case activity.
  • Work independently in a fast-paced remote environment with minimal supervision.
  • Participate in virtual meetings, coaching sessions, and required training.

Required Qualifications

  • Active Registered Pharmacist (RPh) license in good standing in the state of residence.
  • Experience with:
  • Pharmacy Benefit Management (PBM)
  • Prior Authorizations
  • Coverage Determinations
  • Medicare Part D
  • Formulary management
  • Drug Utilization Review (DUR)
  • Strong understanding of CMS regulations and managed care pharmacy.
  • Excellent documentation and data entry skills.
  • Experience working in high-volume, productivity-driven environments.
  • Strong computer skills, including Microsoft Excel and Word.
  • Ability to navigate multiple computer applications using dual monitors.

Preferred Qualifications

  • Experience with provider outreach and clinical case review.
  • Retail pharmacy combined with managed care or PBM experience.
  • Knowledge of Microsoft Access, PowerPoint, and Visio.
  • Previous remote clinical review experience.

Remote Work Requirements

Candidates must have:

  • A dedicated, quiet workspace free from interruptions.
  • Wired high-speed internet with a minimum of:
  • 25 Mbps download
  • 5 Mbps upload
  • Dual-monitor capability.
  • Ability to remain seated and focused throughout the workday.

Additional Requirements

  • Virtual interviews are conducted through Microsoft Teams.
  • Candidates must be comfortable with extensive data entry, multitasking, and working independently while maintaining productivity standards.
  • Opportunity for full-time employment based on performance.

Benefits:

  • Dental insurance
  • Health insurance
  • Vision insurance
A-Line Staffing Solutions logo

About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

Social media

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