Medication Authorization Specialist
4 days ago
Job Summary:
Eisenhower Health seeks a skilled Medication Authorization Specialist to join our team. As a key member of our clinical staff, you will be responsible for submitting requests for medication authorization to insurance companies and providing documentation to support complex infusion treatments.
Key Responsibilities:
- Ensure the accurate and timely processing of injection and infusion orders.
- Work with third-party insurance representatives and EMC clinical staff to process prior authorization requests for infusions and injections.
- Obtain required clinical documentation for prior authorization, ensuring all needed clinical records are collected in order to have treatment authorized on the first attempt.
- Review authorization queue for orders and make sure the schedule is clear for the coming days.
- Observe payor contractual authorization requirements.
- Utilize website portals and electronic options (when available) to submit authorization requests.
- Work with management to identify payor trends, preferred medications, biosimilars and/or generics.
Requirements:
- High School Diploma, GED or higher level degree.
- Experience reviewing medication authorizations in a medical office; experience working with EMR systems; experience in oncology.
What We Offer:
Eisenhower Health offers a competitive salary and benefits package, as well as opportunities for professional growth and development.
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