Job Description
- Description:
- Responsible for obtaining authorizations for elective infusions and injections.
- Ensure reimbursement for the organization.
- Utilize payor resources to verify accurate prior authorization requirements.
- Escalate financial clearance risks as appropriate.
- Act as a liaison between clinical teams and pharmacists for communication regarding infusion prior authorization issues.
- Code cases and review clinical documentation for completeness.
- Requirements:
- High school graduate or equivalent with 2 years working experience in a medical environment, (such as a hospital, doctor’s office, or ambulatory clinic.)
- Associate’s degree and 1 year of experience in a medical environment.
- 3 years’ experience of knowledge and interpretation of medical terminology, ICD-10, and CPT codes.
- Understanding of authorization processes, insurance guidelines, and third-party payors practices.
- Proficiency in Microsoft Office applications.
- Excellent communication and interpersonal skills.
- Ability to prioritize to meet deadlines and multitask a large work volume with a high level of efficiency and attention to detail.
- Basic computer skills.
Benefits:
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