Prior Authorizations Specialist

3 weeks ago


New York, United States Medix Full time

Medix is hiring a Prior Authorization specialist for a specialty prescription service in Manhattan, New York Thanks to recent developments in healthcare data regulation and AI, this organization is able to helps patients get life-changing medicine as quickly and cheaply as possible while handling all the complexity of insurance, financial assistance programs, and pharmacy supply & network issues.

Responsibilities:

  • Contact insurance companies to verify patient benefits and coverage details
  • Manage submission of prior authorization requests for prescription medications via ePA, fax, and phone
  • Review clinical information and ensure all required documentation is included with submissions
  • Document and escalate any issues related to prior authorization requests (e.g., need for additional information or documentation from providers)
  • Serve as a liaison between patients, healthcare providers, and insurance companies
  • Manage 40-50 authorizations daily

Qualifications:

  • 1+ years of experience working in healthcare operations, particularly in benefits verification, prior authorization, medical billing or coding
  • Understanding of medical terminology and insurance process
  • Attention to detail and strong organizational skills
  • Excellent communication skills and adept at using web-based tools/systems
  • Ability to work in person in Soho, NYC

This is a great opportunity to get your foot in the door with a rapidly growing, unique organization



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