Authorization Specialist

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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PromptCare

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1983

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

PromptCare is a leading provider of in-home respiratory, infusion, and specialty pharmaceutical therapies, focused on treating complex and chronic health conditions. They offer tailored, nationwide in-home care, personalized plans, and comprehensive support to improve patients' quality of life. With a team of expert respiratory therapists, nurses, dietitians, and pharmacists, PromptCare provides seamless care transitions and works closely with hospitals and specialists to deliver customized treatment plans, manage insurance processes, and educate patients and their families.

📋 Description

• Submit initial authorization requests to assigned payers using paper forms, printed documentation, fax, payer portals, or other means • Follow up on requests to ensure timely turnaround and approval • Understand payer requirements to ensure approval is granted • Escalate problem accounts and ensure resolution • Maintain regular contact with patients, insurance plans, physician offices, sales representatives, and other personnel • Submit authorization requests to insurance payers for Home Infusion Therapy • Oversee follow-up on pending authorizations • Review authorization approvals and denials for accuracy and initiate the appeal process • Document calls, faxes, and email communications in CPR+ according to department SOP • Maintain records of approved and denied authorizations in patients’ charts • Share insurance updates and communications with management and team members • Perform other duties assigned by the Intake Manager

🎯 Requirements

• High School Diploma or equivalent • Experience in medical office, patient contact and related experience • Microsoft Office Suite experience • Excellent oral and written communication skills • Medical Reimbursement background is preferred • Experience with authorization submission • Ability to maintain strict confidentiality and adhere to HIPPA guidelines and regulations • Knowledge of insurance plan requirements, medical terminology, government regulation, and codes • Ability to lift files, open filing cabinets, and bend or stand as necessary

🏖️ Benefits

• Comprehensive Medical, Dental, and Vision Package • 401(k) Plan with Company Match • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays • Life Insurance: Standard coverage with optional enhancements • Employee Assistance Program: Free counseling and coaching sessions • Emotional Well-being and Work-Life Balance Resources • Short & Long-Term Disability: Company-paid with optional supplements • Accidental Death and Dismemberment Insurance • FSA and HSA: Manage healthcare expenses • Commuter Spending Programs • Volunteer and Engagement Opportunities • Employee Referral Bonuses • Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans