Job Description
This position involves working in a collegial environment with other motivated individuals. This person will work closely with medical providers in securing prior authorization for medications, imaging, and other treatments.
Qualified candidate must possess:
Experience with medication prior authorizations ( CoverMyMeds ).
Experience with imaging prior authorizations (AIM, eViCore, etc.).
Experience with collecting copays.
Familiarity with medications and medical terminology.
Ability to communicate with patients on the phone and in an office setting.
Ability to communicate effectively and routinely with doctor, clinical staff, and office manager, other outside facilities, insurance companies and specialty pharmacies.
Willingness to maintain confidentiality of patient records and patient information.
Ability to navigate through EMR to find the required patient medical information.
Experience with Excel Spreadsheets.
Ability to complete benefits investigations as needed, review insurance denials and submit appeals when needed, prioritize workload, and develop a system to track prior authorizations needing additional follow up.
Excellent Customer Service Skills and exhibits compassionate care toward patients.
Willingness to complete other duties as assigned.
Qualified candidate must possess the ability to work independently and productively, be organized and cooperative under stressful conditions, and thrive in a teamwork environment.
Company Description
We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.
We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.
Affinity Mastermind is seeking an Adventure Travel Consultant to craft thrilling and meaningful escapes for clients. This remote position allows you to work from anywhere and is perfect for those passionate about exploration and storytelling.If you have no previous industry...
Doctors Hospital of Augusta seeks a compassionate Mother Baby RN to provide family-centered postpartum care for mothers and newborns. In this role, youll perform comprehensive assessments, administer medications, support breastfeeding and newborn care education, and monitor...
...offering historic tours of America's tours and attractions while inviting guests to learn about our historic city!Job SummaryOur hotel concierges are stationed in a hotel lobby and work seamlessly with the front desk, providing excellent customer service to guests. An...
...Job Description Job Description Prior Authorization Specialist Pharmacy Technician Pay: $22$24 per hour Location: Onsite New Hire Class Start Date: August 24 About the job: We are seeking a detail-oriented Prior Authorization Specialist Pharmacy...
...Roles, MA, Phlebotomist, CNA|| Passionate || Home Health RN Remote (CA License Required) Facility: Compassus Providence Home... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN Back Office Chart Review Start Date: 11/03/2025...