Responsible for obtaining prior authorization resolutions for residents of facilities serviced. Work with insurance carriers, facilities, and doctors offices and clinics to insure proper patient care.
Working hours are Monday through Friday, 9:00 am - 6:00 pm or 10:00 am - 7:00 pm.
Responsibilities include, but are not limited to:
Accurately process third party billing claims and records Bill cycle fill medication in a timely manner Notify facilities, doctors office and HMOs pertaining to Prior Authorization request Request prescriptions from doctors office as needed Input prescriptions Meet deadlines as required Process durable medical equipment prescriptions Input patient information accurately Provide excellent customer service Proficient computer skills, software manipulations and ability to type 40wpm Familiarity with medical and durable medical equipment terminology Knowledge of insurance billing requirements Compliance with all laws applicable to practice skills Commitment to working as a positive member of a collaborative team environment Performs all other duties as assigned Employees are expected to be on time, ready to work and deal with co-workers in a courteous, professional manner. Employees must have an excellent attendance record and reliability a must. Good customer service skills are to be utilized toward employees and customers alike. Cross training may be required.