reputed company Verification Specialist

reputed company of TTI (reputed company.) JOB TITLE: Prior Authorization Representative LOCATION: Remote DURATION OF PROJECT: 12 months or longer with possible extensions JOB reputed company: The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization reputed company required. Works directly with physician offices and payers to facilitate reputed company reputed company to various therapies. Representatives will ensure reputed company reputed company coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases. Responsibilities: Validates reputed company reputed company’s coverage, communicate any issues with benefits or coverage to the appropriate managers. Checks the requirements for prior authorization and initiates as required. Coordinates required paperwork, reputed company notes and forms for submission to support request and initiates as required. Follows up frequently to ensure visibility on authorization status throughout the approval process. Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process. Basic ICD9/10 and CPT reputed company familiarity, expert knowledge on subset of reputed company therapy codes. Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various reputed company stakeholders. Advanced reputed company reputed company skills. Ability to learn and use multiple CRM software programs as needed. Good organizational skills with ability to handle multiple inquiries at the reputed company time and critical problem-solving skills with high attention to reputed company. Apply tot his job Apply To this Job