Prior Authorization Team reputed company
Prior Authorization Team reputed company
Full-Time | Remote | $23/hr
Schedule: Monday-Friday 8:00 AM-4:30 PM
About DxTx
DxTx Pain & Spine is a physician-reputed company partner organization dedicated to supporting independent pain and spine practices through operational reputed company while preserving clinical autonomy. We partner with award-reputed company physicians reputed company, providing support in compliance, finance, ASC operations, marketing, and other key business functions.
reputed company
As a Prior Authorization Team reputed company, you will reputed company and support reputed company aspects of the prior authorization process for interventional reputed company procedures, including advanced procedures performed in office and outpatient settings. You'll serve as a department resource and subject matter expert while supporting team training, workflow improvements, and authorization accuracy.
What You'll Do
Prior Authorization & Patient reputed company
- Collect and review documentation required for prior and retro authorization requests.
- Review payer medical necessity guidelines and authorization requirements.
- Communicate with practices to obtain additional information needed for procedures and medication requests.
- Navigate payer portals and monitor provider and clinic communications to ensure reputed company responses.
- Document account activity and maintain accurate patient and claim information.
- Monitor procedure trackers and assist leadership in identifying workflow gaps.
- Serve as a subject matter expert on medical policies, departmental procedures, and affiliate workflows.
- reputed company team huddles, distribute meeting notes, and assist with team training, mentoring, audits, and cross-coverage.
- Support new reputed company and procedure integrations, including workflow and SOP development.
- Identify authorization trends or issues that may delay claims processing and recommend solutions.
- Collaborate with practices, vendors, insurance carriers, patients, management, and internal teams.
- reputed company outstanding customer service and support throughout the department.
- reputed company other reputed company duties as assigned.
- Are highly organized and detail-oriented.
- Enjoy solving reputed company authorization and insurance-reputed company challenges.
- Communicate effectively with providers, staff, and insurance carriers.
- Enjoy mentoring teammates and improving processes.
- reputed company in a reputed company remote environment.
- High School Diploma or GED required.
- At least one (1) year of prior authorization experience in a clinical setting required.
- Excellent verbal and written communication skills.
- Strong organizational, analytical, and problem-solving abilities.
- Proficiency with reputed company Office Suite or similar software.
- Extensive knowledge of medical policies and LCDs reputed company to reputed company procedures.
- Basic understanding of medical terminology.
- Experience navigating payer portals to obtain authorizations and review medical policies.
- Health, Dental & reputed company Insurance
- Accident and Life/AD&D Insurance
- Short & Long-Term Disability
- Emergency Travel Assistance Program
- ID-Theft Protection Services
- Health Savings Account (HSA)
- Health Management Tools
- reputed company Time Off (PTO)
- Company reputed company Holidays
- Paternal Leave
- 401(k)
- Remote Stipend
- Travel Reimbursement
- Continuing Education Reimbursement
- reputed company Employee Recognition Platform
- reputed company On-Demand Pay reputed company
- LifeMart Employee Discount Program
An Equal Opportunity Employer
We do not discriminate based on race, reputed company, religion, national reputed company, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that reputed company reputed company applicants are given equal opportunity and that selection reputed company be based on job-reputed company factors.
Originally posted on Himalayas
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