先期授权专员
Prior Authorization Specialist
关于公司：
在Infinx，我们是一家充满活力且迅速发展的公司，致力于为客户提供量身定制的创新技术和解决方案。我们的使命是与医疗机构紧密合作，利用自动化和智能技术解决收入周期中的挑战，提高患者护理的报销率。我们努力确保客户每次都能按时获得收入。我们的客户包括医生集团、医院、药房和牙科集团。
我们正在寻找经验丰富的员工和合作伙伴，他们充满自信，并在与客户需求相符的领域具备专业知识。我们重视那些热衷于帮助他人、擅长解决问题并致力于改善患者护理同时最大化收入的人。包容性和多样性是我们价值观的核心，营造了一个让员工感到归属感、其贡献被重视、多元观点被庆祝的工作环境。我们相信人类连接的力量，包容是我们的使命核心。
地点：远程
职位简介：
此远程先决授权专员支持患者入院岸上部门的各项职能，包括保险验证和协调医疗服务的先决授权请求。该职位在通过管理先决授权流程促进患者及时获得医疗服务方面至关重要。该职位涉及联系保险公司获取资格和福利信息，包括授权要求，收集所需文件，向保险公司提交请求，并跟踪授权状态。
日常职责：
· 联系保险公司获取资格和福利信息，包括授权要求
- 获取先决授权和预认证
- 提交完整准确的授权请求
- 跟进并解决待处理的授权请求
- 维护授权活动的文档记录
- 及时了解保险公司的先决授权要求
技能与教育背景：
· 2年以上医疗行政或药物先决授权流程经验
- 有审查和处理医疗程序和服务的先决授权请求的经验
- 能够与医疗提供者和保险公司合作解决先决授权问题和申诉
- 医疗助理证书或5年相关经验
查看英文原文
About Our Company:
At Infinx, we are a dynamic and rapidly expanding company dedicated to providing innovative technology solutions and services tailored to our clients' needs. Our mission is to collaborate closely with healthcare providers, leveraging automation and intelligence to overcome revenue cycle challenges and enhance reimbursements for patient care. We work diligently to ensure that our clients receive their revenue on time, every time. Our clientele includes physician groups, hospitals, pharmacies, and dental groups.
We are in search of experienced associates and partners who exude confidence and possess expertise in areas aligned with our clients' requirements. We value individuals who are passionate about assisting others, adept at finding solutions to challenges, and committed to improving patient care while maximizing revenue. Inclusivity and diversity are at the core of our values, fostering a workplace where employees feel a sense of belonging, their contributions are valued, and diverse perspectives are celebrated. We believe in the power of human connection, with inclusion as the heart of our mission.
Location: Remote
Summary Description:
This remote Prior Authorization Specialist supports the Patient Access Onshore department in various functions, insurance verification and coordinating prior authorization requests for medical services. This position and is critical in facilitating timely patient access to healthcare by managing prior authorization processes. This role involves contacting payors for benefit information, checking authorization requirements, collecting required documentation, submitting requests to payers, and tracking authorization status.
Daily Responsibilities:
· Contacting payors for eligibility and benefit information to include authorization requirements
- Obtain prior authorizations and pre-certifications
- Submit complete and accurate authorization requests
- Follow up and resolve pending authorization requests
- Maintain documentation of authorization activity
- Stay current on payer prior authorization requirements
Skills and Education:
· 2+ years of experience in healthcare administration or prior authorization processes for medications
- Experience reviewing and processing prior authorization requests for medical procedures and services
- Ability to collaborate with healthcare providers and payers to resolve prior authorization issues and appeals
- Medical Assistant Certification or 5 years experience in a providers office setting processing prior authorizations is preferred but not required.
Company Benefits and Perks:
Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.
· Access to a 401(k) Retirement Savings Plan.
- Comprehensive Medical, Dental, and Vision Coverage.
- Paid Time Off.
- Paid Holidays.
- Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.
If you are a dedicated and experienced Prior Authorization Specialist ready to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join our team at Infinx.
Originally posted on Himalayas