Prior Authorization Specialist
New
I
Inspire Medical SystemsMedical 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 authorization.
- 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.
- Comfortable in a small, dynamic company environment.
- Bachelor’s degree preferred.
- Medical device experience preferred.
Responsibilities
- Support Inspire’s Prior Authorization Program by managing patient information in databases.
- Verify insurance coverage and contact insurance companies to obtain authorization status.
- Collaborate with patients and clinical sites to pursue authorization and appeal success.
- Monitor progress of authorization requests and appeals through to EMR.
- Train sites on program requirements and provide guidance on appeal levels.
- Provide general coding information to physician customers upon request.
- Document and report product/therapy-related field reports in compliance with quality system procedures.
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