Prior Authorization Submitter

Dynavox Group; Northern (KY); Híbrido; USD 23 000 - 32 000; Tempo integral

Resumo da oferta

The Prior Authorization Submitter (PAS) at Tobii Dynavox works with insurance payors to obtain medical necessity and prior authorization for durable medical equipment. You will assemble submission packets and file them through online portals, faxes, and mail, then track responses in our electronic records.

This role requires the ability to communicate effectively, manage multiple online tools, and maintain accurate documentation while supporting team goals.

Qualificações

• High school diploma or equivalent; 1 year medical office experience or prior authorization submission experience.
• Experience with diagnosis codes, prior authorizations, insurance companies.
• Strong MS Office Word and Outlook skills.

Responsabilidades

• Review funded cases and verify information for submission.
• Create prior authorization packets per payor requirements.
• Submit prior authorization requests via portals, fax, and mail.
• Document all steps in the electronic medical record.
• Follow up on payor decisions and report trends.

Conhecimentos

MS Word

Outlook

Detail oriented

Communication

Coordination of benefits

Phone etiquette

Formação académica

High school diploma

Descrição da oferta de emprego

## Prior Authorization SubmitterApply: Remote US-CA: Remote US-CO: Remote US-AZ: Remote US-ID: Remote US-UT: Full time: Posted Yesterday: JR101173**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**.