Prior Authorization Specialist Job at MedOP Solutions, Uniontown, AL

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  • MedOP Solutions
  • Uniontown, AL

Job Description

Job Description

Job Description

Prior Authorization Specialist

Join our dynamic team as a Prior Authorization Specialist, working closely with the Benefits Verification Team to ensure patients can access the care they need. You'll validate insurance plans, handle prescriptions, and initiate prior authorizations through insurance providers. If you're skilled in reading prescriptions, interpreting medical policies, and working with HCPC and ICD-10 codes, this role is for you!

Key Responsibilities:

  • Verify insurance and prescriptions.
  • Contact physicians for clinical documentation.
  • Initiate and follow up on prior authorizations within 48 hours.
  • Manage re-authorizations and ensure timely processing.

What You Need:

  • Experience with major medical insurance and pharmacy benefits.
  • Knowledge of HCPC (J-Codes) and ICD-10 codes.
  • Strong communication and attention to detail.

Help patients access life-changing treatments with a company that makes a difference!

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