Prior Authorization Submitter

Tobii Dynavox; Colorado; Hybrid; USD 23,000 - 32,000; Full time

Job summary

Tobii Dynavox is seeking a Prior Authorization Submitter to prepare and submit medical prior authorization packets, follow up with payors, and document progress in our electronic records system. You’ll work closely with insurance companies to secure authorizations for durable medical equipment.

Requirements include a high school diploma and about one year of medical office experience, plus strong MS Word/Outlook and phone communication.

Qualifications

• High school diploma required.
• One year experience in a medical office with familiarity with diagnosis codes, prior authorizations, insurance companies.
• One year experience submitting prior authorizations for medical services.

Responsibilities

• Review funded cases and verify required information to submit is present and correct.
• Create prior authorization packets according to payor requirements.
• Submit prior authorization requests according to payer requirements.
• Save submission packets to electronic records.
• Document all steps taken to move cases forward with authorization process.
• Follow up on payor requests.
• Identify and report payor trends.
• Assist with other intake functions as needed to meet team goals.
• Performs various other tasks as assigned.

Skills

MS Word

MS Outlook

Phone skills

Detail oriented

PDF handling

Education

High school diploma

Tools

PDF editing

Job description

Why join us?

We're on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives.

At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What's more, you'll be part of a work culture where collaboration is the norm and individuality is welcomed.

As a member of our team, you'll have the power to make it happen. You'll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers' lives.

The Prior Authorization Submitter (PAS) works directly with insurance companies to request a review for medical necessity and prior authorization for durable medical equipment before providing services. The PAS creates a submission packet and submits requests via online portals, faxes, and mail. After submitting for prior authorization, the PAS regularly follows up on the submission for payer decision. All completed steps must be noted in our electronic database of medical records.

The Prior Authorization Submitter must live in the Pacific or Mountain time zones to be considered.

Key Responsibilities:

• Review funded cases and verify required information to submit is present and correct
• Create prior authorization packet according to payor requirements
• Submit prior authorization request according to payer requirements
• Save submission packet to electronic record
• Document all steps taken to move case forward with authorization process
• Follow up on requests submitted to payors
• Perform various other tasks as assigned.
• Identify and report payor trends.
• Assists with other Intake functions as need to meet team goals.
• Performs various other tasks as assigned.

Minimum Qualifications

Education & Experience

• High school diploma
• One year experience working in a medical office and familiar with diagnosis codes, prior authorizations, insurance companies OR
• One year experience of submitting for prior authorization for medical services.

Skill Requirements:

• Consistently demonstrate characteristics in alignment with the Tobii Values
• Ability to communicate with department managers and director
• Strong MS Office Word and Outlook skills.
• Comfort with using multiple online apps and programs simultaneously.
• Familiar with modifying, merging, and splitting PDFs.
• Knowledge of coordination of benefits of Medicare, Medicaid, and third-party insurance
• Detail oriented
• Spending up to 90% of working hours on the phone, making outgoing calls

Work Environment

• Ability to work at a desk for prolonged periods
• Able to work with interruptions in a fast-paced environment
• Ability to travel to the Pittsburgh office for team activities/ trainings (approx. 4 times per year)

We are able to pay this Prior Authorization Submitter $20/hr.

We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we'd love to hear from you.

Where we stand:

We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.

Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.

Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled