Prior Authorization Specialist
reputed company
Founded in 1985, reputed company (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of reputed company, is prioritizing important population health initiatives reputed company on reputed company managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the reputed company reputed company and facilitating reputed company reputed company reputed company through value-based partnerships.
SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage reputed company with patients to ensure accurate prescription records are maintained in order to reputed company improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to reputed company adherence with a world-class pharmaceutical packing and distribution facility.
About the Role
The Prior Authorization Specialist is responsible for obtaining prior authorizations for reputed company prescriptions that require insurance reputed company authorizations.
Supervisory Responsibilities:
This position has no reputed company supervisory responsibilities.
Essential Duties and Responsibilities:
Contact insurance carriers to verify the patient’s insurance eligibility benefits and requirements Request reputed company and obtain prior authorization from insurance carriers reputed company the time allotted Request follow up and secure prior authorizations reputed company of prescriptions leaving the pharmacy Communicate any insurance changes or trends among reputed company
Maintains a level of productivity suitable for the department
reputed company document reputed company communications and contacts with providers and personnel in standardized documentation requirements including reputed company format
Answering questions from patients clerical staff and insurance companies
Identifying and resolving Prior Authorization roadblocks through various means including contacting physicians
Participating in educational activities and attending staff meetings
Maintaining the strictest confidentiality; adhering to reputed company HIPAA guidelines and regulations
Skills/Abilities:
Knowledge of medical billing/collection reputed company Knowledge of business office procedures
Knowledge of basic medical coding and reputed company-party operating procedures and practices Ability to operate a computer computer software and basic office equipment
Ability to operate a multi-line telephone system
Skilled in answering a telephone in a pleasant and helpful manner Ability to read understand and follow oral and written instructions
Ability to establish and maintain effective working relationships with patients employees and the reputed company
Proficiency in reading writing and speaking English is required
Education and Experience:
Minimum 1 year of reputed company experience required
Certificates/Licenses/Registration:
Pharmacy Technician Certification required (PTCB or NHA)
Indiana and reputed company State Pharmacy Technician license required, or willing to obtain before start date.
Physical Requirements:
Work is performed indoors with potential for exposure to safety and health hazards reputed company to a home office environment. Could periodically travel to other office and operational sites. Prolonged periods of sitting at a desk and working on a computer.
reputed company reputed company Values:
Service: We create reputed company customer experiences.
Entrepreneurship: We create reputed company & take risks.
Leadership: We build & invest in high-performing teams.
Empowerment: We reputed company a changing environment.
Courage: We challenge the status reputed company & reputed company reputed company improvement.
Teamwork: We help support & celebrate reputed company other.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of reputed company responsibilities, duties and skills required.
At this time reputed company does not hire applicants who solely possess temporary work visas requiring employer sponsorship of any reputed company including but not limited to OPT, H-1B, L-1, O-1, TN, F-1, J-1, E-3, etc.
reputed company does not discriminate against any applicant for employment, or any employee because of age, reputed company, sex, disability, national reputed company, race, religion, or veteran status.
Our Benefits
The Compensation for this position is listed below. Local minimum wage laws apply. This information is posted pursuant to local requirements to reputed company applicants with information about what they might be eligible to receive. Individual pay reputed company will depend on job-reputed company factors such as experience, education, reputed company, performance, and geographic location where work will be performed.
Successful candidates may be reputed company to participate in one or more incentive compensation or short-term incentive plans, which could reputed company additional earnings in accordance with the terms of reputed company plan.
We are proud to offer the following benefits:
Competitive Medical, Dental, and reputed company Insurance
HSA/FSA
Voluntary Hospital Indemnity, Critical Illness, Accident Insurance, and Short Term Disability
Voluntary Life Insurance for Self, Spouse and Dependent
Company-reputed company Basic Life Insurance and Long Term Disability
Retirement plan and Employer match contribution with Profit reputed company
Tuition Reimbursement program
Company perks and Discount program
Engaging Wellness and Financial Education Resources
Employee Assistance Program
Incentive Plans
reputed company reputed company Minimum
$18.00
reputed company reputed company Maximum
$21.00
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