Medication Prior Authorization jobs

Prior Authorization, Insurance & Patient Support

Go Lean Health · Posted Jan 1, 2024

Open

Remote, Philippines
Remote
Full-time · Associate
$5–$6 per hour

Prior Authorization, Insurance & Patient Support

Go Lean Health · Posted Jan 1, 2024

Open

Remote, Philippines
Remote
Full-time · Associate
$5–$6 per hour

Prior Authorization, Insurance & Patient Support

Go Lean Health · Posted Jan 1, 2024

Open

Remote, Philippines
Remote
Full-time · Associate
$5–$6 per hour
1+ years

Apply with RefersoAI Apply on careers page

Experienced Medical Virtual Assistant specializing in medication prior authorization, insurance coordination, and patient communication to support a U.S. medical practice.

Compensation

$5-$6/Hour

Responsibilities

Initiate, submit, track, and follow up on medication prior authorizations using CoverMyMeds
Process authorizations for GLP-1 and weight-management medications, ADHD medications, hormonal treatments, and other prescriptions requiring insurance approval
Review clinical documentation, diagnoses, ICD-10 codes, medication histories, and payer requirements to ensure accurate submissions
Handle Medicare GLP-1 Bridge requests and specialist visit authorizations for HMO and Medicare Advantage plans
Navigate insurance portals, including Availity, to verify requirements and obtain authorization approvals

Requirements

Practical experience in U.S. healthcare operations
Nice to have: GLP-1 prior authorization
Nice to have: Medicare GLP-1 Bridge authorization
Nice to have: Availity

Skills

Athenahealth CoverMyMeds Medication Prior Authorization

Prior Authorization, Insurance & Patient Support

Go Lean Health · Posted Jan 1, 2024

Open

Remote, Philippines
Remote
Full-time · Associate
$5–$6 per hour
1+ years

Apply with RefersoAI Apply on careers page

Experienced Medical Virtual Assistant specializing in medication prior authorization, insurance coordination, and patient communication to support a U.S. medical practice.

Compensation

$5-$6/Hour

Responsibilities

Initiate, submit, track, and follow up on medication prior authorizations using CoverMyMeds
Process authorizations for GLP-1 and weight-management medications, ADHD medications, hormonal treatments, and other prescriptions requiring insurance approval
Review clinical documentation, diagnoses, ICD-10 codes, medication histories, and payer requirements to ensure accurate submissions
Handle Medicare GLP-1 Bridge requests and specialist visit authorizations for HMO and Medicare Advantage plans
Navigate insurance portals, including Availity, to verify requirements and obtain authorization approvals

Requirements

Practical experience in U.S. healthcare operations
Nice to have: GLP-1 prior authorization
Nice to have: Medicare GLP-1 Bridge authorization
Nice to have: Availity

Skills

Athenahealth CoverMyMeds Medication Prior Authorization

Prior Authorization, Insurance & Patient Support

Prior Authorization, Insurance & Patient Support

Compensation

Responsibilities

Requirements

Skills

Benefits

Prior Authorization, Insurance & Patient Support

Compensation

Responsibilities

Requirements

Skills

Prior Authorization, Insurance & Patient Support

Compensation

Responsibilities

Requirements

Skills

Benefits

Benefits