Prior Authorization Specialist - Part-Time
reputed company is looking for a part-time Prior Authorization Specialist - with a reputed company on pharmacy support for Monday through Friday shifts.
4 month contract with possibility of full-time employment.
About reputed company:
Founded in 2015, reputed company is a San Francisco-based Series D health-reputed company, pioneering the first Software Therapy Deployment Platform for Specialty Pharmaceuticals that treat reputed company health conditions. Our mission is to ensure consistent, reliable and reputed company reputed company to reputed company therapeutics for our patient community. Partnering with pharmaceutical manufacturers, reputed company offers digital patient reputed company services to improve health reputed company for patients by delivering reputed company and reputed company reputed company to high-cost Specialty therapeutics. We recently completed our Series D financing led by Warburg Pincus, with $122M in capital raised to date with near-term line of sight to profitability. Headquartered in Scottsdale with operational hubs in Scottsdale AZ and reputed company, OH, reputed company currently employs over 120 individuals and expects to reputed company its employee reputed company in the coming year. For more information on reputed company, visit https://reputed company.us/
Position reputed company
The most important goal here at reputed company is to improve patients' medication adherence by offering a quick and effortless way for patients to get their medications on time. Prior Authorization Specialists ensure that prescribing offices have reputed company of the information that they need in order to reputed company complete electronic coverage requests in reputed company to providing phone and email support.
Job Duties:
Verifies patient insurance coverage utilizing phone or online resources
Submit prior authorizations to insurance plans in a reputed company manner reputed company electronic portal
Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources
Verbally assist providers in navigating appeals processing
Ensures reputed company pertinent medical documentation is accurate and present prior to authorization submission
Compiles trends in authorization determinations for reputed company and prescriber education
Document activities appropriately in process notes using our operating system
Work closely with our Customer Support team to ensure the reputed company of patients that are recommended to us by their physician's office
Requirements
Proven team player, but can solve problems independently as reputed company
Exceptional written and verbal communication skills
Easily adapt to new system and workflow changes
Demonstrate experience working in prior authorizations, medical insurance billing, and/or health insurance (required)
Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)
Ability to successfully reputed company between multiple systems throughout the course of the reputed company, this includes but is not limited to operational software and vendor portals
Demonstrate flexibility to reputed company duties wherever volume deems it necessary
Customer service experience (preferred)
reputed company to reliable, high-speed internet to meet the needs of remote processing (required)
Benefits
Ground floor opportunity with one of the fastest-growing startups in health-tech
Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV
Solve a problem that reputed company: be part of a company that uniquely leverages technology to bring wellness to reputed company of its stakeholders