Job Details
Description
- Home
- Search Jobs
- Job Description
Customer Service Representative Contract: Birmingham, Alabama, US
Salary: $20.00 Per Hour
Job Code: 349226
End Date: 2024-06-08
Days Left: 11 days, 3 hours left
Apply
PR:$19/hr-$20/hrAbout the Role: - The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required.
- This role involves working directly with physician offices and payers to facilitate patient access to various therapies.
- The Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval, and submit for authorization. Additionally, this role involves assisting with appealing prior authorization denials, retro authorization, or other special cases.
Responsibilities: - Validate insurance patient's coverage and communicate any issues with benefits or coverage to the appropriate managers Check the requirements for prior authorization and initiate as required
- Coordinate required paperwork, clinical notes, and forms for submission to support requests and initiate as required
- Follow up frequently to ensure visibility on authorization status throughout the approval process
- Have basic knowledge of payer payment processes with detailed knowledge of the payer prior authorization process
- Be familiar with basic ICD9/10 and CPT codes, with expert knowledge on a subset of client therapy codes
- Demonstrate superior customer service skills with outstanding communication skills to use with various stakeholders such as physicians, sales representatives, payer representatives, utilization reviewers, and various internal and external stakeholders
- Possess advanced MS Excel skills and the ability to learn and use multiple CRM software programs as needed
- Have good organizational skills with the ability to handle multiple inquiries simultaneously and critical problem-solving skills with high attention to detail
- Familiarity with ICD9/10 and CPT code
Job Requirement Reach Out to a Recruiter - Recruiter
- Email
- Phone
- Srujan R
- ...@collabera.com
Apply Now