Medical Device Support Specialist

7 days ago


Roseville, California, United States Three Point Solutions Full time

Job Description

Overview

  • The Prior Authorization Representative will ensure that patients have access to necessary therapies by verifying prior authorization requirements and obtaining approval when necessary.

Responsibilities

  • Validate patient insurance coverage, identify any issues with benefits or coverage, and communicate with managers as needed.
  • Check the requirements for prior authorization and initiate the process as required.
  • Coordinate paperwork, clinical notes, and forms for submission to support requests and follow up on authorization status throughout the approval process.
  • Demonstrate basic knowledge of payer payment processes and detailed understanding of prior authorization procedures.
  • Familiarity with ICD9/10 and CPT codes is a plus.

Requirements

  • Expert knowledge of client therapy codes.
  • Superior customer service skills with excellent communication abilities to interact with various stakeholders, including physicians, sales representatives, payer representatives, utilization reviewers, and internal and external stakeholders.
  • Advanced Microsoft Excel skills.
  • Ability to learn and use multiple CRM software programs as needed.
  • Strong organizational skills to handle multiple inquiries simultaneously and critical problem-solving skills with high attention to detail.

Benefits

  • Competitive salary ($60,000 - $80,000 per year)
  • A dynamic work environment in the medical device industry
  • Ongoing training and development opportunities

About Three Point Solutions

  • We are a leading provider of medical devices and services
  • We prioritize our employees' growth and well-being


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