Patient Access Coordinator Billingual Supervisor
- A jornada completa
Descripción de la empresa
Cinq Recruitment assist companies find the right talent by consulting with our clients and understanding their needs. With over 30 years of staffing and recruiting experience we assist companies by finding the right talent at the right time. We have successfully filled many niche positions by looking for the passive candidate with the right skills and cultural fit.
Descripción del empleo
Needs to have experience gaining prior authorizations from insurance companies for specific drugs
Heavy Prior Authorization experience with at least 1 year of Specialty Prior Authorizations’ and Handling claims rejections.
ü 1 to 3 years’ experience with working Prior Authorization’s (Knowing what forms to use and completing them, knowing when to use a portal, knowing when to call a plan to complete a verbal request, etc.)
ü 1 to 3 years’ experience with understanding pharmacy claim rejections – knowing what each rejection truly means, knows the difference between a Plan Limit Exceeded rejection and a Cost Exceeds Max rejection and what steps are required for each
ü I am looking for working knowledge and experience with performing the steps necessary to submit PA’s for review/consideration (Require experience be with a non-insurance owned pharmacy.)
Requisitos
Needs to have experience gaining prior authorizations from insurance companies for specific drugs
Heavy Prior Authorization experience with at least 1 year of Specialty Prior Authorizations’ and Handling claims rejections.
ü 1 to 3 years’ experience with working Prior Authorization’s (Knowing what forms to use and completing them, knowing when to use a portal, knowing when to call a plan to complete a verbal request, etc.)
ü 1 to 3 years’ experience with understanding pharmacy claim rejections – knowing what each rejection truly means, knows the difference between a Plan Limit Exceeded rejection and a Cost Exceeds Max rejection and what steps are required for each
ü I am looking for working knowledge and experience with performing the steps necessary to submit PA’s for review/consideration (Require experience be with a non-insurance owned pharmacy.)
Información adicional
All your information will be kept confidential according to EEO guidelines.