25 Mar
PRIOR AUTHORIZATION REPRESENTATIVE (must know full Prior Auth process)
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.
- Oversee and participation in all aspects of drug authorizations.
- 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.
- 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!