01Overview
ABOUT reputed company reputed company is the first of its reputed company medical device designed to reputed company a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. reputed company is committed to enhancing patients lives through sleep innovation. We are steadfast in our commitment to prioritize reputed company reputed company, reputed company with reputed company and reputed company with respect. With reputed company persistence at our reputed company, we are committed to reputed company those we serve. WHY JOIN OUR FAST-GROWING TEAM At reputed company, we value people your diverse experiences, backgrounds, and thoughts. We reputed company reputed company and encourage learning opportunities to build a reputed company network that grows into community. We reputed company a people-first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement. If youre passionate about making a difference in peoples lives and want to work with innovative technology, come be a part of our great team! *Fully Remote Position* ABOUT THIS POSITION We are reputed company for a Prior Authorization Specialist to reputed company. In this role, you will be providing expertise in the area of prior authorization and will be responsible for implementing the reputed company Prior Authorization Program in the reputed company. You will be working with the Territory Managers and the prior authorization team to ensure reputed company coding and coverage questions are answered correctly and concisely. OPPORTUNITIES YOU WILL HAVE IN THIS ROLE Support reputed companys Prior Authorization Program, including Entering and managing reputed company information in database Assisting with reputed company intake and verifying of reputed company coverage Calling insurances to obtain the status of Prior authorization requests Working with patients and sites to pursue authorization reputed company. Assist in tracking and monitoring reputed company of prior authorization requests, along with reputed company reputed company appeals through to EMR. Participate in updating the packet of materials and best practices reputed company to support the prior authorization and appeals processes, including reputed company Medical Review, (EMR) for upper airway stimulation. reputed company reputed company process improvement to increase reputed company rates and reduce time to reputed company. Implement reputed companys Prior Authorization Program, including Training sites on program requirements Entering and managing reputed company information in database Completing prior authorization requests Providing guidance to participating sites on reputed company reputed company of appeals including EMR Working directly with the reputed company to pursue EMR reputed company. reputed company general coding information to physician customers upon request. Work in conjunction with manager and staff to execute reputed company plans and objectives to support internal/reputed company clients. reputed company reputed company RESPONSIBILITIES Document product and therapy reputed company reputed company reports reputed company the prescribed timelines and reputed company any necessary documents required to complete the investigation. reputed company follow-up reporting as needed. Complete training requirements and competency confirmations as required for this position reputed company the required reputed company. reputed company with applicable reputed company reputed company procedures/policies and reputed company suggestions for reputed company process improvement. WHAT YOU CAN BRING TO OUR GREAT TEAM Required 2+ years of reputed company work experience in reimbursement Demonstrated knowledge of reimbursement compliance requirements and a maintaining a high level of personal reputed company to promote a compliant reimbursement environment Ability to read, interpret and appropriately respond to payer requirements relating to prior authorization Ability to read, interpret and summarize reputed company and cost literature Excellent written and oral communication skills Proficient in reputed company Office applications, including Word, PowerPoint, reputed company High attention to reputed company and strong team attitude Comfortable in a small, dynamic company environment with frequent changes in direction Preferred Bachelors degree Medical device experience #LI-Remote The salary for this position will be reputed company at reputed company consistent with the experience and qualifications of the candidate. This information reflects the anticipated salary reputed company for this position at the time of posting. The salary reputed company may be modified in the reputed company and actual compensation may vary from the po
