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Prior Authorization Assistant
Location
EST (UTC-5)
Posted
2 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Prior Authorization Assistant
BruntWork
Role Description This is a remote position. - Contract type: Independent Contractor - Night Shift Schedule: - Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time) - Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time) - The Authorization Representative I (Auth Rep I) is responsible for: - Timely, accurate submission, follow-up, and approval of Authorization Requests from the Accounts. - Being responsive, helpful, curious, eager to do her best, a good team member, and capable of achieving excellence for the Accounts. Performance Expectations - 100% of Auths submitted within 24 hours of receiving the required information. - 100% Auths Approved, Denied, and Completed within the carrier's turnaround time (excluding denials, appeals, and complex Auths). - 100% client satisfaction rating. - Master the key responsibilities listed below. Key Responsibilities - Shows ability to grasp concepts and processes during training to gain the skills necessary to be proficient. - Seek knowledge through curiosity and self-training in payer portals. - Monitor Auth requests within our set 24 hour turnaround time. - Perform Authorization requests with accuracy and efficiency. - Ensure compliance with client preferences and payer rules. - Prepare and submit Auths that result in Approvals (denials should be an exception). - Respond to all inquiries within our set 24 hour turnaround time. - Be accessible to Accounts and team members during normal work hours. - Maintain accurate records and update client systems with authorization details promptly. - Track and follow up on unapproved authorizations timely. - Identify and address expiring authorizations to prevent disruptions in care. - Assist with special projects, problem-solving, and process improvements. - Escalate to Auth rep II immediately any requests you cannot or are not authorized to resolve. - Participate in weekly meetings with Account teams and Coordinators. - Complete reports as required. - With your Account Coordinator, create and maintain Rocks. - Follow team processes at all times. Core Values - Respectful of our unique cultural environment - Absolute confidentiality - Embracing teamwork - Loyal behavior and positive attitude - Accountability - Proactiveness - Thoroughness - Focused on results - Inspired to learn and grow constantly - Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies" Qualifications - 2-year college degree - 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc., preferably in Behavioral Health to some degree - Must have backup power supply (extra laptop/power bank/generator/UPS) - Detail oriented with above-average organizational skill - Able to plan and prioritize to meet deadlines - Excellent verbal and written communication - Communicates clearly and effectively - Excellent reading comprehension - Excellent computer skills, including Microsoft programs such as Excel, Word - Thorough understanding of navigating the internet Benefits - Independent Contractor Perks - Permanent work from home - Immediate hiring - Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, candidates must have their own computer and internet connection. - They will handle their own benefits and taxes. - The professional fees are on hourly rates and the rate depends on your performance in the application process.
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