Triple Triple is leading the way in remote work solutions helping small and medium-sized businesses in North America build highly efficient remote teams for Administration Customer Service Accounting Operations and back-office roles Our focus has always been on our Clients People and Planet ensuring our operations contribute positively across these key areas Distinguished by its rigorous standards Triple excels in Selectively recruiting the top 1 of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triple where we redefine the essence of remote hiring Summary We are seeking a highly organized and detail-oriented Prior Authorization Coordinator to join our healthcare team The candidate will be responsible for obtaining authorizations for pain management services medication and surgery as well as managing referrals from primary care providers to specialists The ideal candidate will have excellent communication and problem-solving skills be able to work independently and as part of a team and have experience working with pain management providers Job ResponsibilitiesReview pain management service requests medication and surgery for medical necessity and accuracy Submit authorization requests to insurance companies and follow up as necessary to ensure timely approvals Communicate with primary care providers and specialists to coordinate referrals for patients Maintain accurate and complete documentation of all authorization requests and outcomes Follow up on authorization requests and provide updates to healthcare providers and patients Communicate with insurance companies healthcare providers and patients to obtain additional information or clarification as needed Maintain current knowledge of insurance regulations and Prior Authorization policies and procedures Perform other duties as assigned by the supervisor QualificationsGraduate Post-Graduate degree diploma Minimum 2 years of work experience in a similar role Excellent verbal and written communication skills Effective customer relation skills Ability to organize and interpret data Requires valuable judgment tact diplomacy and ability to problem-solve Able to work effectively in a team environment Computer literacy is a must Schedule US Shifts Only Eastern Time - 6 30 p m - 3 30 a m IST Monday - Friday Pacific Time - 9 30 p m - 6 30 a m IST Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone .
