25 Mar
PRIOR AUTHORIZATION REPRESENTATIVE (must know full Prior Auth process)
Florida, Altamontesprings , 32701 Altamontesprings USA

Vacancy expired!

Job Description

JOB SUMMARY:

  • Responsible for gathering all information required on the authorization, completing authorization form, and submission of form to insurance company. Responsible for all follow up phone calls of the authorization and documentation into CPR+ of authorization status.

SCOPE OF ROLE AND RESPONSIBILITIES:

  • Oversee and participation in all aspects of drug authorizations.

ESSENTIAL FUNCTIONS:

  • Verify the correct authorization form and plan to submit authorization through.
  • Gather all necessary information from Dr. office to complete authorization form.
  • Responsible for submission of authorization form to the Insurance plan.
  • Notifying appropriate staff of approved/denied medications.
  • Process/reverse online claims as required.
  • Responsible for maintaining required spreadsheets.
  • Responsible for all follow up phone calls to the insurance company or Dr. office for status of authorization or request for additional information.
  • Responsible for all documentation of authorization statuses into CPR+ progress notes.
  • Update Sales Staff with pertinent information.

ADDITIONAL RESPONSIBILITIES:

  • Perform other duties as assigned by supervisor.

Qualifications

QUALIFICATIONS & ABILITIES:

  • High school graduate with a minim um of 1 year specialty pharmacy prior authorization experience preferred.
  • Good computer skills.
  • Knowledge of medical terminology.
  • Good communication skills.
  • Ability to work cooperatively.
  • Professional Image.
  • Ability to adhere to C.A.R.T. principles:

Competence

 Accountability

 Respect

 Trust

REQUIRED EDUCATION/TRAINING AND/OR PROFESSIONAL EXPERIENCE:

  • High School Diploma or equivalency.

Additional Information

BioPlusoffers competitive compensation packages includinghealth care, 401(k),growthpotential, and a challenging and exciting work environment.

BioPlus is an Equal Opportunity Employer

Vacancy expired!


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