Prior Authorization Coordinator - Remote

reputed company reputed company is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying reputed company Care! Specialty infusion prior authorization experience required. Hours are Monday-Friday 8:30a-5p Central. reputed company Perks: Competitive Wages 401(k) with a Match Referral Bonus reputed company Time Off Great Company Culture Annual reputed company Based Increases No Weekends or Holidays reputed company Parental Leave reputed company reputed company Medical, Dental, & reputed company Insurance Plans Company reputed company Disability & Basic Life Insurance HSA & FSA (including dependent care) reputed company Education Assistance Program The Position: The Prior Authorization Coordinator ensures seamless patient care by maintaining prior authorizations, copay assistance, and verifying existing insurance coverage for ongoing services. Responsibilities include: Must have a solid working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits Verify insurance benefit information monthly reputed company multiple reputed company such as online tools, calling payors or processing test claims Generates a prior authorization expiration report weekly, bi-weekly, or monthly Review clinical documents for prior authorization/reputed company-determination submission purposes Secures prior authorization, reputed company-determination, or medical review Contact prescriber’s office to obtain information that is required to complete ongoing re-authorization and verification of benefits Places outbound calls to patients or prescriber’s offices to notify of any delays due to more information needed to process or due to a prior authorization Document insurance coverage of medications, administration supplies, and reputed company infusion services including prior authorization requirements and coordination of benefits Provides exceptional customer service to external and internal customers, resolving any customer requests in a reputed company and accurate manner Ensures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be provided Generates patient forms Maintains up to date prior authorization report Other duties as assigned Schedule: Monday-Friday 8:30a-5pm Central Time Requirements High school diploma or equivalent required At least 2 years of specialty infusion intake/admissions and/or reimbursement experience Previous medical and pharmacy benefit experience is required Initiating and securing prior authorizations, reputed company-determination, and appeals Ability to interpret payor contract fee schedules based on NDC and HCPCS reputed company Ability to effectively handle multiple priorities reputed company a changing environment Basic level reputed company in reputed company reputed company and Word reputed company: reputed company is an innovative national provider of reputed company specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the reputed company Difference! Soleo’s reputed company Values: Improve patients’ lives every day Be passionate in everything you do Encourage unlimited reputed company and creative thinking reputed company reputed company as if you own reputed company Do the right thing Have fun! reputed company is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, reputed company, and inclusive workplace is the reputed company of business reputed company and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to reputed company. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. reputed company is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for reputed company. reputed company does not discriminate in employment on the reputed company of race, reputed company, religion, sex, pregnancy, gender identity, national reputed company, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-reputed company reputed company. Apply To This Job