Description
Working full-time in the Pharmacy Business Office, the Prior Authorization Coordinator will obtain authorization numbers from insurance companies, review prior authorization requests for medical necessity, and ensure appropriate benefit coverage for infusion clinics while maintaining a remote work environment.Key responsibilities:Completes prior authorization reviews for general and oncology infusions, researching medical necessity based on patient diagnosis and treatment plansCommunicates with insurance carriers and internal departments to resolve prior authorization issues and manage incoming patient reportsMaintains a shared database of prior authorization numbers and participates in performance improvement initiatives to ensure compliance with regulationsRequired qualifications:High School diploma2-3 years of medical secretarial or administrative support experienceProficiency in Microsoft Office and internet skillsGood customer service skills and ability to work in a team environmentPreferred: 6-12 months of prior authorization experience in an infusion setting
Description
Working full-time in the Pharmacy Business Office, the Prior Authorization Coordinator will obtain authorization numbers from insurance companies, review prior authorization requests for medical necessity, and ensure appropriate benefit coverage for infusion clinics while maintaining a remote work environment.Key responsibilities:Completes prior authorization reviews for general and oncology infusions, researching medical necessity based on patient diagnosis and treatment plansCommunicates with insurance carriers and internal departments to resolve prior authorization issues and manage incoming patient reportsMaintains a shared database of prior authorization numbers and participates in performance improvement initiatives to ensure compliance with regulationsRequired qualifications:High School diploma2-3 years of medical secretarial or administrative support experienceProficiency in Microsoft Office and internet skillsGood customer service skills and ability to work in a team environmentPreferred: 6-12 months of prior authorization experience in an infusion setting
Smart Searches
Related Job Titles To Event Coordinator