Healthcare Collaboration Manager

1 week ago

Karachi, Sindh, Pakistan beBeeAuthorization Full time $50,000 - $70,000
Role Summary

The role of a Patient Engagement Specialist is pivotal in ensuring seamless communication with insurance companies and healthcare providers to obtain prior authorization for medications.

This position involves playing a vital role in the healthcare industry by working closely with various stakeholders to facilitate efficient medication authorization processes.

Key Responsibilities:
  • Initiate and manage requests for prior authorization through calls to insurance companies and online portals.
  • Document all steps accurately and ensure timely completion of tasks to maintain efficiency.
  • Respond promptly to messages regarding authorization and initiate subsequent requests as necessary.
  • Prioritize STAT orders and work within designated timelines to meet deadlines.
  • Verify patient eligibility and benefits, upload notes to the system, and update authorization documents accordingly.
  • Check medication authorization messages from provider offices and add requests to the CMM Portal.
  • Follow up on request statuses and send Prior Auth forms to respective PBMs.
  • Inform clinics about approval or denial for medications and document Medication Prior Authorizations in spreadsheets.
Qualifications & Skills:
  • Education: A degree in healthcare or an equivalent field is preferred.
  • Experience: 1+ year of experience in prior authorizations is essential.
  • Skills: Communication, Multitasking, Customer Service, Healthcare Regulations, Decision-Making, Interpersonal Interactions.

Excellent communication and organizational skills are crucial for this role, along with the ability to maintain good interpersonal interactions with clients and work effectively in a team environment.

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