Req#: 270586Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Flexibility of remote work
- Be part of a leading company in physician office-based infusion services
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care and satisfaction
What to Expect (Job Responsibilities):
- Review referral medical record documentation and evaluate medical criteria for prior authorizations
- Maintain complete, timely, and accurate documentation of reviews
- Communicate consistently with sites and staff regarding patient referral status and documentation needs
- Manage the daily queue for clinical reviews to ensure timely completion of tasks
- Assist with generating site-specific template orders and report key performance metrics
What is Required (Qualifications):
- Current certification as a pharmacy technician (CPhT) or medical assistant (MA) is required
- 2-3 years of prior authorization experience
- Proficiency in electronic medical record systems and Microsoft Office Suite, including Outlook, Excel, and Word
- Strong analytical and communication skills, including written and verbal abilities
- Self-motivated with effective multitasking and teamwork skills
How to Stand Out (Preferred Qualifications):
- Bachelor's degree is preferred
- Knowledgeable in medical terminology, generic and trade pharmaceutical names, and pharmaceutical calculations
- Proficiency in PowerPoint is preferable
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