Drug Authorization Specialist

7 days ago


Wayne, United States Coda Staffing Full time
Job DescriptionJob Description

The following is required:

  • Knowledge of company's authorizations for drugs and laser treatments.
  • Knowledge of medical insurances, policies, and protocols.
  • Knowledge of ICD-10 and CPT coding.
  • Experience verifying insurance benefits.
  • Ability to understand insurance claims (Explanation of Benefits).
  • Knowledge of retina/ophthalmology terminology as it pertains to drug/laser authorizations.
  • Experience speaking to insurance companies and obtaining authorizations.
  • Able to multi-task and work on multiple tasks at the same time.
  • Must be a team player
  • Patient facing capabilities will interact with patients as well

Experience using portals such as Navinet, Availity, UHC Link, Wellcare, and Emblem



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