Prior Authorization Specialist--Remote

Remote, USA Full-time
JOB SUMMARY - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The Prior Authorization Specialist is a field-based support role for NanoKnife reimbursement efforts by working collaboratively with partnered Territory Managers, NanoKnife customers and reimbursement operations personnel to assist with reimbursement activities. This role ensures patients have access to therapies by collaborating with healthcare providers, payers and internal teams to navigate insurance requirements and reimbursement processes. Essential Duties and Responsibilities Coordinates the authorization process with the office personnel, payer representatives and NanoKnife reimbursement operations Provides education on the NanoKnife benefits & process to payor case managers & other payor focused contacts Maintains customer profile data on the different layers of managed care contacts in geography Works in partnership to ensure that the Field Reimbursement Specialist activities support the prior authorization goals and objectives Responsibilities include supporting reimbursement focused activities for field sales, proactively educating payor case management, preparing appropriate documentation packages for authorizations, and understanding and communicating the manages care flow of the geography Initiate and follow up on Letters of Agreement with targeted payors Educate physicians and physician offices on reimbursement best practices and initiatives Communicate with field sales on reimbursement best practices and trends with designated payors Point of contact for field sales and leadership team during reimbursement process May perform other duties as assigned QUALIFICATIONS -The requirements listed below are representative of the knowledge, skill or ability required. Education and Experience Bachelor's Level of Degree in the related field of stud 2 years of demonstrated experience in prior authorizations Any preferred education, experience or certifications: Case Manager or Resource Utilization experience preferred Skills/Knowledge Ability to comfortable navigate the internet as well as Payor websites Proficient in the following computer software applications: Microsoft Office Exceptional interpersonal skills. Strong organizational skills. Strong communication skills (written and verbal). Ability to effectively communicate both internally and externally. Ability to read and interpret documents such as safety rules, operating and maintenance. instructions, and procedure manuals. Ability to write routine reports and correspondence. PHYSICAL/WORK REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job: Work safely and follow all OSHA regulations and company safety policies and procedures. For all on-the-job injuries or accidents, must notify manager/supervisor immediately. Exposure to standard office environment and medical facilities Ability to frequently lift and/or move up to 15lbs Ability to occasionally lift and/or move up to 50lbs Ability to regularly sit or stand for extended periods of time This position requires some travel up to 30% of the time EMPLOYEE ACKNOWLEDGMENT By signing the Learning & Development training form, I understand that the company reserves the right to add to or revise an employee's job duties at any time at its sole discretion. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This document does not create a contract of employment between AngioDynamics and any individual, express or implied. All employees are, and remain, employees-at-will. Apply tot his job
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