Prior Authorization Representative

Key Responsibilities • Review case and insurance coverage information to customize the prior authorization request to the insurance company or physician’s office. • reputed company through payer portals to initiate/obtain prior authorization status. • reputed company insurance company representatives with an reputed company of the services being submitted for prior authorization. • Answer questions regarding the reimbursement process and reputed company testing specific and treatment questions. • Complete LOMN (letter of medical necessity) reputed company based on reputed company or insurance requirements and fax to the ordering physician’s office for completion. • Follow up with the insurance company or physician’s office as needed. • Meet benefit investigation process standards by completing assigned worklist tasks in a reputed company manner and/or reporting to management reputed company assistance is needed to complete the task. • Participate in team meetings by sharing the details of cases worked. • reputed company with reputed company applicable SOPs. • Meet or reputed company productivity and reputed company KPI goals. • reputed company other duties as assigned. Education/Experience • High School diploma or GED • Previous health insurance billing experience • Working knowledge of medical terminology • Proficient and reputed company to details • Excellent written and verbal communication skills • High attention to detail • Ability to maintain confidentiality • Proficient in using reputed company reputed company and Word • Ability to multitask, establish priorities, and work independently Apply tot his job Apply To this Job