14368944
Located in Visalia, CA
Pay: 18.00-20.00
Job Full Description
Position Summary:
Responsible for submitting authorizations and reauthorizations in an accurate and timely manner.
Qualifications:
High School Graduate
Office and computer skills are necessary
Medical Terminology Knowledge
Medical Coding Experience
Effective time management and organizational skills
Performance Expectations:
- Coordinate work flow of authorizations and reauthorizations for the Specialty, Pharmacy and Enteral teams, working closely with the Specialty Team Lead, Senior Lead Technician and Enteral Coordinator.
- Assisting the Specialty Team Lead with insurance authorization initiation and maintaining the reauthorizations throughout the patient’s therapy.
- Assisting with making sure there is an authorization on file before each dispense.
- Processes all Medicare Part D and Medi-Cal RX electronic pharmacy claims and assists the billing supervisor with accepting claims.
- Submits any Medicare Part D or Medi-Cal RX TARs as needed.
- Assists the Specialty Team Lead, Senior Lead Technician and Enteral Coordinator with the daily review of upcoming authorization which will be expiring.
- Requests updated clinical as needed to obtain reauthorization.
- Submits reauthorizations prior to current authorization on file expiring for patients with ongoing orders.
- Updates status of reauthorization using the authorization tracking list/progress notes as well as entering and tracking detailed progress notes with status updates.
- Follow ups with insurances as needed on all reauthorization submitted to obtain a copy of approval, attach approval to patient’s file and enter in the authorization number and dates to the authorization tracking list and progress notes with a follow up date.
- Ensures all continuation orders which require an authorization are submitted within 24 hours of receiving the order.
Visalia, CA
2433
4002 South Demaree
Visalia, CA 93277
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