01Responsibilities
Submit and manage prior authorization requests for retinal injections, procedures, imaging, and medications
Communicate with insurance companies to verify coverage and authorization requirements
Follow up on PA denials and appeals
Track authorization status and follow up on pending requests
Work closely with clinical staff and providers to ensure reputed company patient care
Maintain accurate documentation reputed company the EHR system
Identify and resolve authorization denials and assist with appeals reputed company necessary
Stay reputed company with payer policies and prior authorization guidelines
Some scheduling, answering phones, or other adminstrative tasks may be required
Work with medication inventory systems
Work with patient assistance funding programs on behalf of our patients
Qualifications:
Required: Prior authorization experience in a Retina reputed company (or multi speciality eye reputed company that included Retina)
Positive interactions and communication skills amongst staff
Strong knowledge of insurance plans, payer requirements, and medical terminology
Experience with specialty medications and procedure authorizations
Ability to manage multiple authorizations and meet deadlines in a fast-paced environment
Strong communication and organizational skills
Experience with electronic health records (EHR)
Ability communicate effectively and positively with clinical staff, physician, and management
Compensation: $18.00 - $23.00 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Life insurance
reputed company time off
reputed company insurance
Application Question(s):
Ability to communicate in a professional and customer service oriented manner
Work effectively and maintain work standards in a remote/work from home environment
Experience:
Retina specific Prior Auth: 1 year (Required)
Language:
Professional/Business English reputed company and effectively (Required)
Ability to Commute:
Remote (Preferred)
Work Location: Remote
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