Prior Authorizations Specialist- Urology (Remote)
Job Title: Authorizations Representative Company: ReveLution, LLC Location: Fully Remote Job Type/Schedule: Full-Time, PACIFIC TIME: M-Th 7:30am-4:00pm, Friday: 7:30am-3:30pm Pay Scale: $18.00-$26.50 per hour About ReveLution, LLC: ReveLution, LLC is a consulting and revenue cycle management company with the core of our services being high-quality third-party billing services with a focus in oncology and oncology-adjacent services. We complement our revenue cycle services with insurance verification, prior authorizations/utilization management and patient benefit verification. Job Description: We are currently seeking an authorizations representative with experience in a related field who demonstrates drive and motivation to excel in their work. We would like to bring on team members who take great pride in their work to join our dynamic, growing team. Key Responsibilities:
- Coordinate with the patient, physician, and insurance company on the complete pre-certification process, including peer-to-peers and appeals when needed.
- Make calls to patients and insurance companies regarding the pre-certification process.
- Receive and process insurance information and forms from patients and insurance companies.
- Verify insurance benefits and coverage details.
Benefits:
- Fully Remote
- Health, dental, and vision insurance.
- Retirement savings plan with profit sharing.
- Paid time off and holidays.
- Professional development opportunities.
Qualifications:
- 1+ years of experience in Prior Authorizations
- Proficiency in Microsoft Office Suite and healthcare management softwares/EHRs.
- Familiarity with insurance policies and changes.
- Resides in one of the following states: AZ, NV, TX, TN, or WA.
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