Patient Engagement Specialist

2 weeks ago

Karachi, Sindh, Pakistan DataQ Healthcare Full time 630,000 - 840,000 per year

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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