Remote Raven is looking for a Prior Authorization Coordinator to manage the insurance approval process for surgical procedures. In this role, you will be responsible for ensuring all necessary authorizations are secured, enabling timely patient care.
What You'll Do
- Review patient insurance policies to determine specific prior authorization requirements based on CPT codes for all upcoming surgical procedures.
- Initiate prior authorization requests through provider portals, phone communication, or fax submission.
- Track and follow up on submitted authorization requests, ensuring approvals are obtained and properly attached and linked to the patient’s scheduled appointment.
- Prepare and submit appeals when authorization requests are denied or require reconsideration.
- Communicate with patients when necessary to explain the prior authorization process or request additional required information.
- Accurately document all prior authorization activities in patient charts to ensure the care team is informed prior to the patient’s appointment.
- Monitor Microsoft Teams chats for questions, clarifications, or appointment updates that may impact prior authorization status in real time.
What We're Looking For
- Strong attention to detail and organizational skills.
- Effective verbal and written communication skills.
- Strong problem analysis and resolution skills.
- Ability to effectively multitask while working across multiple computer-based information systems.
- Capacity to work independently and remain productive in a self-directed environment.
Nice to Have
- Proficiency with Microsoft Teams, Outlook, and Excel.
Technical Stack
- Microsoft Teams
- Outlook
- Excel
Remote Raven is an equal opportunity employer.
