Anchorage, United States
Job Detail
  • Industry:
  • Total Positions:
  • Job Type:
    Full Time
  • Salary:
  • Job Location:
    Anchorage, United States
  • Minimum Education:,ANM,GNM, Nursing, Nursing,Bhms,Mbbs,Bams
  • Minimum Experience:
    2,3,4 Years
  • Apply By:
    Dec 24, 2019
  • Job Posting Date:
    Dec 07, 2019
Job Description

Completes prior-authorization request for medication and procedures

Assists with medical necessity documentation to expedite approvals of medications and procedures

Screens patient telephone calls to access need of prior authorizations

Provides patients with educational information

Collaborates with providers/MAs/payers/pharmacist/patients to assure appropriateness of medications/ procedures needing prior authorization and to reduce barriers to patient receiving quality patient care

Assists with developing and implementing prior-authorization work flows, policies and procedures

Partners and collaborates with other departments cross functionally regarding prior- authorization and/or clinical care services

Knowledgeable of different insurance types

Assisting Triage department with overflow of calls, receiving voicemails, handling prescription refills

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