Remote Biologic Prior Authorization Specialist (1099 Contract)

Full Job Description

 

Remote Biologic Prior Authorization Specialist Overview

We are seeking a detail-oriented Certified Medical Assistant with specific experience in prior authorizations. The ideal candidate will have a strong background in asthma/allergy medications, specifically biologics. This position offers the opportunity to work remote and make a meaningful impact on patient care.

 

Responsibilities of Biologic Prior Authorization Specialist

  • Review and process prior authorization requests for biologic medications
  • Verify insurance coverage and ensure all necessary documentation is complete
  • Communicate with healthcare providers, insurance companies, and specialty pharmacies regarding authorization status
  • Maintain accurate records of authorizations and follow-up as needed
  • Collaborate with medical staff to ensure compliance with policies and procedures

 

  • Assist in resolving any authorization-related issues or denials
  • Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
  • Maintains a level of productivity suitable for the department.
  • Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format
  • Other duties as assigned.

 

Qualifications of Biologic Prior Authorization Specialist

 

  • Experience working in a medical office setting
  • Familiarity with biologic medications used to treat asthma and allergy patients
  • Strong understanding of prior authorization process
  • Excellent communication skills and attention to detail
  • Ability to work effectively in a fast-paced environment
  • Prior experience with medication refills, scheduling, and phone triage is a plus

 

Join our team as a Remote Certified Medical Assistant - Prior Authorization Specialist and play a vital role in facilitating timely access to essential healthcare services for our patients.

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Job Types: Part-time, Contract

Pay: $18.00 per hour

Expected hours: 20 per week

Medical Specialty:

  • Allergy & Immunology
  • Pulmonology

Schedule:

 

  • Monday to Friday
  • No weekends

Application Question(s):

 

  • Please confirm your understanding of 1099 Contract. This will be a short term 6 week contract

 

  • This position is fully remote, part time, and requires availability between the hours of 9a-5pm EST M-F for a total of 20 hours per week. Please verify that you are available to work during these hours.

Experience:

  • EMR systems: 1 year (Required)
  • Prior Authorization: 2 years (Required)

License/Certification:

 

  • Certified Medical Assistant (Required)

Work Location: Remote

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