Prior Authorization Specialist
New
Fully Remote PositionFull-TimeJunior
Salary$51,000 — $70,000 USD
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Job Details
- Experience
- 2+ years of related work experience in reimbursement
- Required Skills
- Microsoft ExcelCompliancePowerPoint
Requirements
- 2+ years of related work experience in reimbursement.
- Demonstrated knowledge of reimbursement compliance requirements.
- Ability to read, interpret, and respond to payer requirements.
- Ability to read, interpret, and summarize clinical and cost literature.
- Excellent written and oral communication skills.
- Proficient in Microsoft Office applications (Word, PowerPoint, Excel).
- High attention to detail and strong team attitude.
- Ability to thrive in a small, dynamic company environment.
Responsibilities
- Enter and manage patient information in the database.
- Assist with patient intake and verify insurance coverage.
- Call insurance companies to obtain the status of prior authorization requests.
- Work with patients and sites to pursue authorization and EMR success.
- Track and monitor the progress of prior authorization requests and appeals.
- Update materials and best practice methods for the prior authorization and appeals processes.
- Train sites on program requirements and provide guidance on appeal levels.
- Provide general coding information to physician customers upon request.
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