Prior Authorization Pro: Streamline Patient Access

Qualified Recruiter, LLC; United States; On-site; USD 24,796 - 33,062; Full time

Job summary

A healthcare recruitment firm is seeking a Prior Authorization Representative to manage verification of prior authorization requirements and facilitate patient access to therapies. The ideal candidate will have strong customer service and communication skills, advanced Excel abilities, and basic knowledge of relevant coding. This role requires multitasking and attention to detail in a fast-paced environment.

Qualifications

• Strong communication skills to interact with physicians and payers.
• Advanced Excel skills and ability to handle multiple inquiries.
• Basic knowledge of ICD9/10 and CPT codes, with a focus on Medtronic therapy codes.

Responsibilities

• Verify prior authorization requirements and obtain necessary authorizations.
• Validate patient insurance coverage and communicate issues.
• Coordinate required paperwork and follow up on authorization statuses.

Skills

Customer service skills

Communication skills

Organizational skills

Problem-solving skills

Microsoft Excel

Tools

CRM software

Job description

A healthcare recruitment firm is seeking a Prior Authorization Representative to manage verification of prior authorization requirements and facilitate patient access to therapies. The ideal candidate will have strong customer service and communication skills, advanced Excel abilities, and basic knowledge of relevant coding. This role requires multitasking and attention to detail in a fast-paced environment.