上诉协调员
Appeals Coordinator
这是一个远程职位。
关于CloudTop Health Inc.
CloudTop Health是一家总部位于美国的优先授权公司，正在现代化并简化特殊药物的获取方式。我们提供一个安全、协作的在线平台，使患者、医生和药剂师能够共同合作，提高患者获得治疗的效率，并更快地配送处方药。
本职位描述中的信息旨在说明该职位员工的一般工作性质和水平。它不旨在包含或被解释为对该职位所有职责、责任和资格要求的全面清单。
职位概述
审核被保险公司拒绝的药物优先授权请求。如果我们可以获得足够的信息进行申诉，我们将从模板中创建申诉信或手写。如果需要额外的信息（如缺失的实验室报告），则联系医生获取缺失的信息。此职位有一个班次，工作时间为美国东部时间上午9:00至下午5:30，有30分钟的休息时间。
职位目标
· 联系医生办公室以获取缺失的医疗信息。
- 创建申诉信。
- 通过传真向保险公司提交申诉。
要求
- 有提交药物申诉的先前经验。
- 英语口语流利。
- 能够正确使用英语语法写作。
- 通过在线测速网站证明网络下载速度大于20Mbps，上传速度大于10Mbps ()
福利
- 享有美国法定节假日带薪休假
- 每年10天带薪假期
- 绩效奖金
最初发布于Himalayas
查看英文原文
This is a remote position.
About CloudTop Health Inc.
CloudTop Health is a Prior Authorization company based in the United States that is modernizing and simplifying the way specialty medications are accessed. We provide a secure, collaborative online platform that allows patients, physicians, and pharmacists to work together to improve patients’ access to treatment and deliver prescription drugs faster.Disclaimer
The information herein on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
Job Overview
Review drug prior authorization requests that have been denied by the insurance. If we have enough information for the appeal, we create an appeal letter from a template or write it by hand. If we need additional information (such as a missing lab), contact the doctor for the missing information.This position has one shift with hours of 9:00am - 5:30am EST with a thirty minute break.
Job Objectives
· Contact doctor's offices regarding missing medical information.
- Create appeal letters.
- Submit appeals to insurance by fax.
Requirements
- Previous experience submitting medication appeals.
- Excellent English speaker.
- Ability to write with correct English grammar.
- Proven internet download speeds of greater than 20Mbps and upload speed of 10Mbps via an online speed test ()
Benefits
- Paid U.S. holidays
- 10 paid days off per year
- Incentive bonus
Originally posted on Himalayas