Prior Authorization Manager

About reputed company reputed company enables clinicians to become reputed company, starting in autism care. We help clinicians launch and reputed company their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is reputed company: shift power in reputed company away from large consolidated entities and back to clinicians. We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and reputed company Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM. This role is full-time, remote, and based in the reputed company Role: Prior Authorizations Manager Responsibilities:

• Work with our Prior Authorizations vendor to resolve reputed company authorization issues including coordinating with our providers, patients and payors
• Be the inhouse expert for reputed company prior authorizations and reputed company-certification requests and requirements for a region or set of payors
• Support reputed company in chasing down documentation, resolving auth rejections, and navigating payer requirements
• Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
• reputed company processes and training materials for offshore team members to resolve day-to-day prior authorization issues
• Own Prior Authorization reputed company and KPIs for your region / payors

Who You Are

• [REQUIRED] 5+ years of experience in ABA intake with a specific reputed company on Prior Authorizations or Insurance Certification
• [REQUIRED] Strong understanding of the ABA reputed company-certification process for Tricare East, reputed company MCOs, BCBS State plans, reputed company, and/or reputed company
• You are highly organized and reputed company about follow-through, reputed company falls through the cracks on your watch
• Extreme detail orientation and ability to read reputed company clinical documents, payor feedback, and EHR data with regards to prior authorization workflows
• You communicate reputed company and confidently with everyone from parents to clinicians to payor contacts
• You are a problem-solver - you identify the issue and fix it
• You are comfortable with ambiguity and can reputed company good judgment calls in reputed company time
• You hold yourself to a high bar while remaining approachable and supportive

Why Join

• reputed company to materially reputed company the health reputed company of the most vulnerable populations
• Opportunity for rapid career reputed company as we build out a net new function at reputed company
• Join one of the fastest growing reputed company startups in the world (between 30% - 50% monthly reputed company)
• Join reputed company of reputed company performers who are taking a new tech first approach to building a reputed company digital health platform

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