Prior Authorization Specialist
New
B
Boulder CareHealthcare Addiction Medicine
This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, FL, GA, ID, IL, KY, MA, NC, NJ, NV, NY, OH, OR, PA, SC, TN, TX, UT, WA, and WV, 8am - 6pm Mountain / Pacific TimeFull-TimeMiddle
Salary23 - 25 USD per hour
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Job Details
- Experience
- 6 months of experience working on prior authorizations; 2+ years of Medical office/clinic experience
- Required Skills
- Time Management
Requirements
- 6 months of experience working on prior authorizations
- 2+ years of Medical office/clinic experience
- Ability to organize workload and manage time effectively
- Technologically savvy
- Ability to read and interpret medical benefits for verification requests
- Ability to handle a high volume of work with speed and accuracy
- Exceptional written and verbal communication skills
- Dedicated, private workspace with a lockable door
- Access to reliable, high-speed internet
Responsibilities
- Obtain prior-authorization for all patients requiring insurance approval for medication needs
- Verify patient insurance information is accurate and documented correctly
- Troubleshoot prior authorization submissions and prescription processing with health care providers
- Review and resolve all reported authorization issues timely and effectively
- Submit prior authorizations to insurance plans via portals, fax, or phone
- Communicate authorization and benefit coverage with patients and providers
- Obtain appropriate documentation to validate the approval or denial of authorizations
- Document progress of prior authorization appropriately using our operating system
- Follow up on pending authorizations on a regular basis
- Advise management of identified trends with payers to mitigate problems
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