Numotion is an equal opportunity employer. We strive for a workplace that reflects the communities we serve and do not tolerate discrimination against our employees, customers, and partners regardless of ethnicity, disability, gender identity, sexual orientation, religion, age, citizenship, marital or veteran status. Numotion is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Payer Authorization Specialist
Location
United States
Posted
50 days ago
Salary
Not specified
Seniority
Mid Level
Job Description
Role Description
The Funding Coordinator is responsible for maintaining the administrative workflow of reviewing, submitting and following-up with medical documentation related to authorizations.
- Manages prior authorization requests and sends them to the appropriate funding source.
- Consistently submits and follows up on status of all prior authorization requests.
- Reviews authorizations from payer to determine approved/denied items.
- Submits appeals as necessary.
- Works closely with client’s coordinator regarding payer status as well as estimated patient’s responsibility.
- Communicates to management any identified issues related to payers.
- Utilize Numotion Leadership Principles to perform the job with integrity, compliance, and values consistent with Numotion’s mission.
- Adhere to employee or customer confidentiality and comply with Numotion’s policies and federal regulations.
- Always provide excellent customer service for all internal and external customers of the operations.
- Provide solutions for customer concerns and continually focus on customer service as our top priority.
The above duties and responsibilities are not an all-inclusive list but rather a general representation of the duties and responsibilities associated with this position. The duties and responsibilities will be subject to change based on organizational needs and/or as deemed necessary by management.
Qualifications
- High School diploma or GED.
- Six (6) months of processing medical documentation.
- Proficiency in Microsoft Office Suite.
- Ability to work in a fast-paced environment and juggle multiple priorities.
Requirements
- Associates degree in relevant field.
- Ability to think quickly, assess a situation and make a sound decision.
- Solid written and verbal communication, listening, organization and priority setting skills.
Physical Work Requirements
- Frequent use of hands, wrists, fingers associated with using computer equipment.
- Prolonged periods of time working at a desk and/or on a computer.
- Occasionally move and reach with arms and hands.
- Ability to lift/move up to 10 pounds.
Benefits
- Competitive compensation packages.
- Medical, dental and vision insurance.
- Short-term and long-term disability.
- 401k.
- Life insurance.
Job Requirements
- High School diploma or GED.
- Six (6) months of processing medical documentation.
- Proficiency in Microsoft Office Suite.
- Ability to work in a fast-paced environment and juggle multiple priorities.
- Associates degree in relevant field.
- Ability to think quickly, assess a situation and make a sound decision.
- Solid written and verbal communication, listening, organization and priority setting skills.
- Physical Work Requirements
- Frequent use of hands, wrists, fingers associated with using computer equipment.
- Prolonged periods of time working at a desk and/or on a computer.
- Occasionally move and reach with arms and hands.
- Ability to lift/move up to 10 pounds.
Benefits
- Competitive compensation packages.
- Medical, dental and vision insurance.
- Short-term and long-term disability.
- 401k.
- Life insurance.
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