Prior Authorization Specialist
New
I
Inspire Medical Systems Inc.Medical Devices
Fully Remote PositionFull-TimeMiddle
Salary$51,000 — $70,000 USD
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Job Details
- Experience
- 2+ years
- Required Skills
- Microsoft ExcelMicrosoft OfficeCompliancePowerPoint
Requirements
- 2+ years of related work experience in reimbursement.
- Demonstrated knowledge of reimbursement compliance requirements.
- Ability to read, interpret, and respond to payer requirements for prior authorizations.
- Ability to read, interpret, and summarize clinical and cost literature.
- Proficiency in Microsoft Office applications (Word, PowerPoint, Excel).
- Strong attention to detail and a team-oriented attitude.
- Ability to work in a small, dynamic company environment.
- Bachelor’s degree (preferred).
- Medical device experience (preferred).
Responsibilities
- Enter and manage patient information in the database.
- Verify patient insurance coverage and call insurance providers for status updates.
- Collaborate with patients and sites to pursue authorization success.
- Track and monitor authorization requests and appeals through EMR.
- Train sites on program requirements and provide guidance on appeal processes.
- Provide general coding information to physician customers upon request.
- Seek continuous process improvement to increase success rates and reduce time to authorization.
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