Prior Authorization Specialist I
Required skills
- Prior Authorization
- CoverMyMeds
- HIPAA
- Medical Records
- Confidentiality
Nice to have
- Two computer monitors
Role summary
CloudTop Health is seeking a remote Prior Authorization Specialist I to handle prescription drug prior authorizations for doctor's offices. The role involves submitting authorization requests to insurance companies online or via fax, reviewing patient medical records, and answering insurance-related medical questions. Candidates must adhere to HIPAA regulations and maintain patient data confidentiality. A reliable internet connection with specific speed requirements and the ability to work independently are essential. Experience with drug prior authorizations, such as using CoverMyMeds, is required. Two computer monitors are recommended.
This is a remote position.
About CloudTop Health Inc.
CloudTop Health is an outsource solution for doctor's offices who need help with prior authorizations on prescription drugs.
Disclaimer
The information here describes the general nature and level of work performed by employees. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
Job Overview
This is a remote position in which you will need to use your own laptop/PC to utilize company workspace for an online workflow. The job requires you to submit authorization requests to insurance companies online or by fax and answer any medical questions the insurance may have.
The shift hours for this job are from 9:00am to 5:30am EST, with a 30-minute break in between.
Job Objectives- Send prior authorization requests to various insurance companies.
- Review patient medical records, treatment plans, and other relevant documentation to gather necessary information for authorization requests.
- Ensure that all prior authorization forms and supporting documents are correctly filled out, delivered on schedule, and submitted.
- Understands and follows applicable HIPAA regulations, professional standards, and ethical principles.
Requirements
Requirements
- Prior experience submitting drug prior authorizations (e.g. experience using CoverMyMeds).
- Reliable internet connection. Using an online speed test (), you must have internet download speeds of at least 20 Mbps and upload speeds of at least 10 Mbps.
- Ability to work independently with supervisor oversight.
- Upholding confidentiality when managing private patient data.
- Two computer monitors is strongly recommended.
Benefits
Benefits
- Paid U.S. holidays
- 10 paid days off per year
- Incentive bonus
Originally posted on Himalayas
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