Prior Authorization Coordinator

Job description

Status: Hourly, Non-Exempt Hourly Rate: $21.00 - $23.00: Location: Onsite, Gainesville, GA: JOB RESPONSIBILITIES: - Process authorizations electronically, utilizing PA and payer portals, fax or telephone working with payers to secure authorizations. - Process fax queues, emails, answer incoming calls and adhere to all thresholds for authorization management. - Contact patient’s insurance company to verify coverage, initiate authorizations, provide clinical documentation and follow up on previously submitted authorizations. - Maintain clear communication and documentation with provider offices, patients and pharmacy account managers. - Work closely with provider office point of contact(s) to obtain updated information in order to create appeals, draft letters, as well as follow pharmacy workflow steps to provide a streamlined appeal process for offices and payers. - Input accurate and clear data entry of call logs, important case notes and authorization details into CRM system. - Verify the accuracy and quality of data entry within authorizations prior to submission. - Ability to confirm whether a therapy is complete and if an authorization renewal is needed. - Initiate and follow-u...