Biologic Precertification Specialist - Onsite, 4x10s + Parking

GTS Scientific; Philadelphia (Philadelphia County); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Parking pass paid for

Job summary

GTS Scientific in Philadelphia seeks a Precertification Specialist to manage prior authorization requests for biologic medications. This role involves collaboration with billing, providers, and insurance companies to ensure efficient access to treatments.

The ideal candidate has experience in authorization processes, a solid understanding of insurance plans, and excellent communication skills. The position is onsite in Center City, Philadelphia, offering a dynamic work environment.

Qualifications

• Experience in managing prior authorization requests for biologic medications.
• Ability to navigate complex payer systems effectively.
• Strong understanding of healthcare workflows related to biologics.

Responsibilities

• Submit and track prior authorization requests for biologic medications.
• Verify insurance benefits and eligibility for specialty therapies.
• Collaborate with providers to obtain necessary clinical documentation.
• Communicate with payers to resolve issues and expedite approvals.
• Educate patients about authorization status.

Skills

Experience in precertification or prior authorization

Knowledge of commercial insurance plans

Familiarity with specialty pharmacy workflows

Strong organizational skills

Proficiency in payer portals

Strong communication skills

Job description

GTS Scientific in Philadelphia seeks a Precertification Specialist to manage prior authorization requests for biologic medications. This role involves collaboration with billing, providers, and insurance companies to ensure efficient access to treatments.

The ideal candidate has experience in authorization processes, a solid understanding of insurance plans, and excellent communication skills. The position is onsite in Center City, Philadelphia, offering a dynamic work environment.