What are the responsibilities and job description for the Prior Authorization Specialist position at Ophthalmic Consultants of Long Island?
Job Description
Job Description
PRIOR AUTHORIZATION SPECIALIST
WHO WE’RE LOOKING FOR
Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time, and we focus on building great teams and keeping our employees happy. We promote from within and offer fantastic benefits and PTO!
THE OPPORTUNITY AT HAND
We’re looking for an enthusiastic and detail-oriented person to join our team as a Prior Authorization Specialist. Our Prior Authorization Specialist is responsible for accurately identifying retinal injectable patients. This includes counseling and registering patients, confirming patient eligibility, and obtaining pre-authorizations for upcoming retinal injection appointments. You’ll play a vital role in the patients’ experience with OCLI.
OUR EXPECTATIONS OF YOU
Review appointments to confirm that correct injections are booked in appropriate timeframe.
Follow up on status of patient copay assistance.
Confirm the results of Benefits Investigation (BI) and entering pertinent information into patient chart.
Confirming status of patient eligibility and approval for copayment assistance.
Maintain proper inventory.
Assist with tracking patients who have been approved and have copayment assistance cards and applying funds to charges within PM system.
Other duties may be assigned as needed.
