Authorization Specialist
4 weeks ago
New England Life Care is seeking a highly skilled Remote Authorization Specialist to join our team. As a key member of our reimbursement department, you will play a critical role in obtaining and maintaining prior authorization status for patient medications and therapies.
Responsibilities:
- Obtain and maintain prior authorization status for patient medications and therapies
- Work closely with the clinical review department to obtain documentation needed to complete the authorization process
- Obtain needed documentation to support the billing department in meeting payer requirements for patient accounts
- Develop and maintain strong relationships with internal stakeholders, including clinical review and billing teams
- Stay up-to-date on changing payer requirements and regulations
Requirements:
- High School Diploma or equivalent required
- Minimum of 2 years authorization, reimbursement or claims processing experience required
- Practical experience with medical terminology, CPT, ICD-9 and HCPC coding preferred
- Practical experience with Medicare, Medicaid and third-party payor contracts preferred
- Knowledge of HIPAA Privacy and Security requirements preferred
What We Offer:
- Remote work arrangement
- Opportunity for career growth and advancement
- Competitive salary and benefits package
- Generous employer-matched 403b savings program
- Company-paid life insurance, short- and long-term disability insurance
- Paid time off
About New England Life Care:
New England Life Care is a non-profit home infusion therapy company serving over 70 hospital systems in Maine, New Hampshire, and Massachusetts. We are committed to providing patient-focused care and are dedicated to building a diverse, inclusive, and authentic workplace.
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