Tandym Group
Prior Authorization Specialist
Tandym Group, New York, New York, us, 10261
A Health Care Start-up is seeking a Prior Authorization Specialist based in NYC.
Worksite Setting : On-site office, but may switch to remote/hybrid down the road.
Worksite location(s) : SoHo NYC
Schedule : Full time day flexible, minimum 20 hrs/week (weekdays only)
JOB Description:
Start Date: ImmediateKey Responsibilities* Complete prior authorization requests based on clinical documentation for prescription medications via ePA, fax, and phone* Contact insurance companies to verify patient benefits and coverage details* Review clinical information and ensure all required documentation is included with submissions* Document and escalate any issues related to prior authorization requests (e.g., need for additional information or documentation from providers)* Serve as a liaison between patients, healthcare providers, and insurance companiesQualifications* High school diploma or equivalent required; Bachelor's degree preferred* 1+ years of experience in a healthcare operations / administration role that includes prior authorization work (e.g. medical assistant, pharmacy technician, nurse)* Familiarity with EHR systems* Strong understanding of medical terminology (especially pharmaceutical) and insurance process* Attention to detail and strong organizational skills* Excellent communication skills and adept at using web-based tools/systems* Ability to work in person in Soho, NYC
Worksite Setting : On-site office, but may switch to remote/hybrid down the road.
Worksite location(s) : SoHo NYC
Schedule : Full time day flexible, minimum 20 hrs/week (weekdays only)
JOB Description:
Start Date: ImmediateKey Responsibilities* Complete prior authorization requests based on clinical documentation for prescription medications via ePA, fax, and phone* Contact insurance companies to verify patient benefits and coverage details* Review clinical information and ensure all required documentation is included with submissions* Document and escalate any issues related to prior authorization requests (e.g., need for additional information or documentation from providers)* Serve as a liaison between patients, healthcare providers, and insurance companiesQualifications* High school diploma or equivalent required; Bachelor's degree preferred* 1+ years of experience in a healthcare operations / administration role that includes prior authorization work (e.g. medical assistant, pharmacy technician, nurse)* Familiarity with EHR systems* Strong understanding of medical terminology (especially pharmaceutical) and insurance process* Attention to detail and strong organizational skills* Excellent communication skills and adept at using web-based tools/systems* Ability to work in person in Soho, NYC