Prior Authorizations & Clinical Intake Virtual Assistant
New
R
RockstarHealthcare Administration
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
Requirements
- Prior experience in DME (durable medical equipment)
- Strong hands-on skills in Medicaid and commercial insurance authorization processing
- Experience reviewing patient documentation and clinical records for completeness
- Knowledge of prior authorization requirements and payer documentation standards
- Strong attention to detail with the ability to identify missing or incomplete information
- Highly organized with strong recordkeeping habits
- Comfortable working independently within a remote healthcare setting
- Brightree and Parachute experience preferred
Responsibilities
- Review patient charts and medical records for completeness
- Handle clinical intake and verify required documentation
- Identify missing or incomplete clinical information
- Ensure CMNs, clinical notes, and supporting documents meet payer requirements
- Maintain accurate and organized patient records
- Verify patient insurance eligibility and coverage prior to order fulfillment
- Submit prior authorization requests to insurance payers and track them through to approval
- Communicate with physician offices to request missing signatures, notes, or supporting documentation
- Enter and update patient and order information accurately within Brightree
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