This is a Fully Remote Job
About Our Client:
The organization operates within the dermatology field, offering medical, surgical, and aesthetic dermatology and dermatopathology services. It focuses on providing personalized care tailored to each patient's needs and priorities. The organization aims to make comprehensive dermatology services accessible within local communities, supporting both patients and primary care providers through effective communication and coordination.
About the Opportunity:
The PRIOR AUTHORIZATION COORDINATOR is responsible for managing the medication and procedure prior authorization process, including prescription refills. This role ensures timely approvals by coordinating with insurance companies, healthcare providers, and patients, contributing to smooth patient access to necessary dermatology treatments.
Responsibilities:
Interview patients to assist with obtaining authorizations for medications and procedures
Process documentation to expedite approval and perform necessary follow-up
Receive and monitor pre-authorization requests
Obtain insurance authorizations via phone, fax, or online systems while maintaining confidentiality
Verify accuracy and completeness of information and supporting documents
Submit referrals and medical records to insurance carriers
Manage correspondence with insurance companies, physicians, specialists, and patients
Handle denials and submit appeals to secure approvals
Document all prior authorization activities and update patient records accurately
Requirements:
High school diploma or GED required
Certified Medical Assistant certificate preferred
Certified and licensed pharmacy technician preferred
Knowledge of online authorization systems and medical terminology
Strong computer skills to manage clinical information
Ability to track multiple in-process authorizations
Effective interpersonal and customer service skills
Ability to work independently with attention to detail
Capacity to manage multiple tasks and adapt to change
Pay Range and Compensation Package:
Salary ranges from USD 20.00 to 27.14 per hour depending on experience and other factors
Benefits & Perks:
Medical plans with HMO or PPO options
Dental plan
Healthcare Savings Account (HSA)
401(k) plan with generous match
Employee Assistance Plan
Additional voluntary benefits including short-term disability, accident, cancer indemnity, and life insurance through AFLAC
Equal Opportunity Statement:
Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.