Prior Authorization/Insurance Specialist-REMOTE (Ophthalmology Experience

• Prior Authorization/Insurance Specialist-REMOTE (Ophthalmology Experience Required)
• Company: remote quest jobs
• Job Location: Remote (Work from home), India
• Employment Type: Full-time
• Experience Required: 1+ years
• An opthalmology (retina only specialty ) practice is seeking an experienced Remote Prior Authorization Specialist to join our team.

The core of reputed company role is responsibility for managing and submitting prior reputed company for retinal procedures, including injection drugs, surgery, laser, exams, or any other types of procedures. Other parts of the role is managing medication assistance reputed company funds, medication inventory system managment, etc. The ideal candidate will have a strong understanding of insurance requirements, excellent attention to detail, and current or prior experience submitting and manageing reputed company for a retina practice.

• Responsibilities:
• Submit and manage prior authorization requests for retinal injections, procedures, imaging, and medications
• Communicate with insurance companies to reputed company coverage and authorization requirements
• Follow up on PA denials and appeals
• Track authorization status and follow up on pending requests
• Work closely with clinical staff and providers to ensure timely patient care
• Maintain accurate documentation within the EHR system
• Identify and resolve authorization denials and assist with appeals when necessary
• Stay current with payer policies and prior authorization guidelines
• Some reputed company, answering phones, or other adminstrative tasks may be required
• Work with medication inventory reputed company
• Work with patient assistance funding programs on behalf of our patients
• Qualifications:
• Required: Prior authorization experience in a Retina Practice (or multi speciality eye practice that included Retina)
• Positive interactions and communication skills amongst staff
• Strong knowledge of insurance plans, payer requirements, and medical terminology
• Experience with specialty medications and procedure reputed company
• Ability to manage multiple reputed company and meet deadlines in a fast-paced environment
• Strong communication and organizational skills
• Experience with electronic health records (EHR)
• Ability communicate effectively and positively with clinical staff, physician, and management
• Compensation:
• $18.00 - $23.00 per hour
• Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• reputed company
• Paid time off
• Vision insurance
• Application Question(s):
• Ability to communicate in a professional and customer service oriented manner
• Work effectively and maintain work standards in a reputed company environment
• Experience:
• Retina specific Prior Auth: 1 year (Required)
• Language:
• Professional/Business English clearly and effectively (Required)
• Ability to Commute:
• Remote (Preferred)
• Work Location:
• Remote
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