
Patient Engagement Specialist
2 days ago
Work shift: Night from 6 pm to 3 am
Location: Shahrah-e-Faisal, Karachi.
Education: Any healthcare degree (Pharm D preferred)
Experience: 1+ years of experience in Prior Authorizations is preferred.
Job Description:
Make calls to insurance companies/submit requests through the online portal to get prior authorization for medications.
Ensure all the steps are properly documented and followed correctly
Actively respond to the Auth messages and requests received from the clinic and initiate the request immediately
Make sure all the STAT orders are prioritized and worked upon within the set timeline
Ensure all the eligibility and benefits were taken correctly and notes are uploaded to the system
During the process of verification if authorization is required, need to obtain the authorization and update the authorization document in the system
Need to check the messages received from the Provider's office to obtain medication authorizations.
Add all the requests on the CMM Portal and actively follow up and update the statuses of requests.
Ensuring all Prior Auth forms are sent to the respective PBM.
Inform the Clinic about Approval/Denial for all mediations Prior Authorization.
Ensuring all the Medication Prior Authorizations are documented in the provided spreadsheet.
Any other related task by the manager or reporting line.
Skills:
Communication Skills
Multitasking
Customer service
Healthcare regulations
Strong decision-making ability
Ability to maintain good interpersonal interactions with clients
Job Type: Full-time
Pay: From Rs70,000.00 per month
Application Question(s):
- Can you communicate in English (US)?
- Do you have a healthcare degree?
- Do you have experience in Prior Authorizations?
- Can you work in night shifts?
- What is your current salary? (in USD)
- What is your expected salary? (in USD)
Work Location: In person
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