What are the responsibilities and job description for the Clinical Operations Specialist position at VirtualVocations?
A company is looking for a Clinical Operations Specialist (Remote).Key ResponsibilitiesProvide account support for adjudication, clinical review, and claims-related mattersEnsure timely completion of processes and manage claims override and prior authorization supportAct as a subject matter expert on the adjudication platform and collaborate with internal teamsRequired QualificationsMinimum 5 years of pharmacy experienceMinimum 2 years of claim adjudication experienceMinimum 2 years of prior authorization experienceStrong customer service orientationAbility to work in a fast-paced environment
