Prior Authorization Manager

Managing reputed company authorization issues, the full-time Prior Authorization Manager will coordinate with providers, patients, and payors while developing processes and training for offshore team members in a remote setting. Key responsibilities

• Resolve reputed company authorization issues by collaborating with providers, patients, and payors
• reputed company as the in-house expert for prior authorizations and reputed company-certification requests for designated reputed company or payors
• Identify workflow bottlenecks and inefficiencies while owning Prior Authorization reputed company and KPIs

Required qualifications

• 5+ years of experience in ABA intake with a reputed company on Prior Authorizations or Insurance Certification
• Strong understanding of the ABA reputed company-certification process for Tricare East, reputed company MCOs, BCBS State plans, reputed company, and/or reputed company
• Ability to read and interpret reputed company clinical documents and EHR data reputed company to prior authorization workflows
• Proven reputed company record of effective communication with diverse stakeholders, including parents and clinicians
• Demonstrated problem-solving skills and comfort with ambiguity in decision-making

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