Prior Authorization Submitter

Tobii Dynavox LLC; United States; Remote; USD 23,000 - 32,000; Full time

Job summary

Tobii Dynavox LLC is seeking a Prior Authorization Submitter to join our mission-driven team. This role interacts with medical offices, insurance payors, and internal systems to prepare and submit prior authorization documentation for durable medical equipment, track status, and follow up on decisions.

The ideal candidate has healthcare coordination experience, strong communication, and meticulous data handling.

Qualifications

• High school diploma required.
• 1 year medical office experience or prior authorization experience preferred.
• Familiar with diagnosis codes and insurance processes.

Responsibilities

• Review funded cases and verify required information is present.
• Create prior authorization packets per payor requirements.
• Submit prior authorization requests.
• Save submission packets to electronic records.
• Document steps to move cases forward in the authorization process.
• Follow up on payor requests.
• Identify and report payor trends.
• Assist with other intake functions to meet team goals.
• Perform other tasks as assigned.

Skills

Phone support

MS Word

MS Outlook

PDF management

Diagnosis codes

COB knowledge

Detail oriented

Strong communication

Multitasking

Insurance familiarity

Education

High school diploma

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.

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