Your responsibilities will include: Manages incoming faxes and correspondence, distributing to Case Managers in a timely and accurate manner. Demonstrated ability to navigate the prior authorization process with commercial and government payers. Strong ability to read clinical records and extract pertinent information for submission. Demonstrated knowledge of payer medical policies and criteria requirements. Ability to follow process and protocol and communicate when/if changes are needed. Ability to work within multiple software systems. Ability to adapt as the needs of the business change or evolve. Excellent verbal and written communication skills. Excellent interpersonal skills. 1-2 Years with High School Diploma and/or equivalent experience, training , or apprenticeships Minimum 2 years commercial insurance prior authorization experience. Secure home office space with ability to protect HIPAA sensitive materials. Must be willing to travel as needed (<5%). Pain management or spine specialty preferred.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees