What are the responsibilities and job description for the Prior Authorization Specialist position at Pure Infusion Suites?
Job Details
Job Location: Pure Corporate Legal Address - Taylorsville, UT
Position Type: Full Time
Education Level: High School
Salary Range: $20.00 - $24.00 Hourly
Travel Percentage: None
Job Shift: Day
Job Category: Health Care
Description
**WE ARE DOING WALK-IN INTERVIEWS FOR THIS POSITION ON MONDAYS FROM 1-4. PLEASE COME BY OUR OFFICE AND ASK FOR DEVON, JAMIE OR MALLORIE**
Position Summary:
The Intake Coordinator (Level 2) is responsible for the successful completion of prior authorizations for new infusion therapy treatments. This process requires high levels of organization, dedication, and persistence. The position serves as an advocate for patients and aggressively fights on behalf of patients to receive access to needed therapies.
Key Responsibilities
- Comfortable working daily with insurance payers to gain prior authorization approval for specialty drug treatments.
- Comfortable working with remote teams in multiple states to coordinate access to specialty drugs and infusion treatments.
- Understands and accurately applies requirements for prior authorization of specialty drug regimens.
- Ensures eligibility and benefits are properly verified prior to the initial visit and thereafter as directed.
- Exhibits excellent customer service skills and serves as an advocate for the patient in obtaining and understanding all assistance programs.
- Performs other related duties as assigned or requested in order to maintain a high level of service.
- Demonstrates professional work behavior by following Service Standards and Success factors.
- Complies with departmental organizational policies and procedures and adheres to external agency requirements.
- The level 2 Intake coordinator’s primary focus and responsibility includes gaining authorizations from federal and commercial payers.
Required Knowledge and Skills
- Demonstrated work history of being successful at handling prior authorizations, appeals and denials.
- Demonstrates clear communication and effective collaboration to optimize patient care and clinic operations
- Excellent customer service skills
- Ability to collaborate with others and offer outstanding customer service.
- Demonstrates a High degree of computer literacy in a PC environment.
- Strong organizational, interpersonal and communication skills.
- Six months of experience of successfully completing federal payer authorizations.
- Three months of experience successfully completing commercial payer authorizations.
Education/Licensure/Technical Requirements.
- High school Diploma or equivalent required
- Some college or business school training preferred
- Six months of experience with prior authorizations, federal and commercial required.
- Ability to meet U.S. employment and eligibility requirements
Qualifications
Salary : $20 - $24
