ZipRecruiter
Hybrid Coverage Determination Representative
ZipRecruiter, San Antonio, Texas, United States, 78208
Job DescriptionJob Description
A-Line Staffing is now hiring Hybrid Coverage Determination Representative in San Antonio, TX!
The
Hybrid Coverage Determination Representative
will work for a leading healthcare company and has potential for full-time employment based on performance. This is a hybrid role requiring in-office work 3 days per week, with a rotating weekend schedule.
If you are interested in this position, please contact Austin Faris at 586-710-7941 or afaris@alinestaffing.com.
Hybrid Coverage Determination Representative Compensation
Pay Rate:
$17.50/hour
Benefits are available to full-time employees after 90 days of employment
A 401(k) with company match is available after 1 year of service
Position Highlights
Hybrid position: 3 days per week in the San Antonio office (days TBD) and some weekend rotations
Training Hours:
9:00 AM – 5:30 PM EST
for the first 8 weeks (mandatory attendance; no planned time off during training)
Post-training shifts: 8-hour shifts
8:00 AM – 8:00 PM EST
, Monday–Friday, with rotating weekends
Opportunity for full-time employment contingent on performance
Responsibilities
Utilize multiple software systems to create Medicare Prior Authorization case reviews
Review fax documents and forward to appropriate queues
Maintain accurate, timely, and complete documentation of Coverage Determination/Appeal requests
Meet or exceed government-mandated timelines while complying with productivity and quality standards
Acquire and maintain knowledge of relevant and changing Medicare D guidance
Participate in team meetings and development discussions with supervisors
Requirements
High School Diploma or GED required
Must have a dedicated, quiet workspace for remote days with
wired internet
meeting a minimum of
25 Mbps download / 5 Mbps upload
Must be able to sit and focus for the duration of the shift
Previous experience in data entry and navigating multiple applications using dual screens
Pharmacy or medical background but not required
Ability to work independently in a productivity-driven environment
Positive and engaged attitude to support team goals
Qualifications
Previous WFH experience is
Experience in medical insurance or prior authorization roles is a plus
Worksite:
San Antonio, TX Number of Openings:
12 Start Date:
11/10/2025
If you want, I can also
trim this into a concise, job-board-ready version
optimized for quick applicant engagement. Do you want me to do that?
A-Line Staffing is now hiring Hybrid Coverage Determination Representative in San Antonio, TX!
The
Hybrid Coverage Determination Representative
will work for a leading healthcare company and has potential for full-time employment based on performance. This is a hybrid role requiring in-office work 3 days per week, with a rotating weekend schedule.
If you are interested in this position, please contact Austin Faris at 586-710-7941 or afaris@alinestaffing.com.
Hybrid Coverage Determination Representative Compensation
Pay Rate:
$17.50/hour
Benefits are available to full-time employees after 90 days of employment
A 401(k) with company match is available after 1 year of service
Position Highlights
Hybrid position: 3 days per week in the San Antonio office (days TBD) and some weekend rotations
Training Hours:
9:00 AM – 5:30 PM EST
for the first 8 weeks (mandatory attendance; no planned time off during training)
Post-training shifts: 8-hour shifts
8:00 AM – 8:00 PM EST
, Monday–Friday, with rotating weekends
Opportunity for full-time employment contingent on performance
Responsibilities
Utilize multiple software systems to create Medicare Prior Authorization case reviews
Review fax documents and forward to appropriate queues
Maintain accurate, timely, and complete documentation of Coverage Determination/Appeal requests
Meet or exceed government-mandated timelines while complying with productivity and quality standards
Acquire and maintain knowledge of relevant and changing Medicare D guidance
Participate in team meetings and development discussions with supervisors
Requirements
High School Diploma or GED required
Must have a dedicated, quiet workspace for remote days with
wired internet
meeting a minimum of
25 Mbps download / 5 Mbps upload
Must be able to sit and focus for the duration of the shift
Previous experience in data entry and navigating multiple applications using dual screens
Pharmacy or medical background but not required
Ability to work independently in a productivity-driven environment
Positive and engaged attitude to support team goals
Qualifications
Previous WFH experience is
Experience in medical insurance or prior authorization roles is a plus
Worksite:
San Antonio, TX Number of Openings:
12 Start Date:
11/10/2025
If you want, I can also
trim this into a concise, job-board-ready version
optimized for quick applicant engagement. Do you want me to do that?