Prior Authorization Specialist

Job Description

Job Description

This position involves working in a collegial environment with other motivated individuals. This person will work closely with medical providers in securing prior authorization for medications, imaging, and other treatments.

Qualified candidate must possess:

Experience with medication prior authorizations ( CoverMyMeds ).

Experience with imaging prior authorizations (AIM, eViCore, etc.).

Experience with collecting copays.

Familiarity with medications and medical terminology.

Ability to communicate with patients on the phone and in an office setting.

Ability to communicate effectively and routinely with doctor, clinical staff, and office manager, other outside facilities, insurance companies and specialty pharmacies.

Willingness to maintain confidentiality of patient records and patient information.

Ability to navigate through EMR to find the required patient medical information.

Experience with Excel Spreadsheets.

Ability to complete benefits investigations as needed, review insurance denials and submit appeals when needed, prioritize workload, and develop a system to track prior authorizations needing additional follow up.

Excellent Customer Service Skills and exhibits compassionate care toward patients.

Willingness to complete other duties as assigned.

Qualified candidate must possess the ability to work independently and productively, be organized and cooperative under stressful conditions, and thrive in a teamwork environment.

We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.

Company Description

We are a team of collegial and motivated individuals who provide excellent patient care to people living with migraine or other headache conditions. Our corporate culture is one of respect, professionalism, and creativity that is patient-focused and provides motivation for improvement and advancement of personnel within the organization.