Prior Authorization Specialist
9 hours ago
Medix is seeking a skilled Prior Authorization Specialist to support our team in ensuring seamless patient care.
Key Responsibilities:
- Initiate new prior authorization requests for patients and collaborate with prescribers and medical offices to complete forms accurately.
- Determine the appropriate prior authorization form based on the patient's insurance provider and follow up to monitor the status of requests.
- Communicate updates regarding prior authorizations to patients and providers, and work with medical offices to manage appeals related to prior authorizations.
- Address inquiries from internal departments concerning prior authorization processes and provide exceptional patient care.
Requirements:
- High school diploma or GED required; a Bachelor's degree is strongly preferred.
- Experience in customer service or within an inbound call center is essential.
- Excellent verbal and written communication skills, proficient technical skills, and a focus on operations.
- Commitment to delivering exceptional patient care and ability to collaborate effectively within a team and across departments.
Preferred Qualifications:
- At least one year of experience with prior authorizations or insurance verification in a pharmacy setting.
- Familiarity with pharmacy benefits and claims processes.
Benefits:
- Paid Sick Leave according to state and local sick leave ordinances.
- Health Benefits, Dental, Vision, 401k, Short Term Disability Insurance, and Term Life Insurance Plan.
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