What are the responsibilities and job description for the Medical Receptionist - Referral Coordinator position at Quadrant, Inc.?
Medical Receptionist - Referral Coordinator - Prior Authorization Specialist
Baltimore, MD
Pay From: $20 per hour
MUST:
3 years of experience with obtaining prior-authorizations
Must have knowledge of insurance carriers
Strong experience obtaining Prior Authorizations for medications and writing up medical necessities
Uploading and logging prior authorizations
DUTIES:
The Duties of the Prior Authorizations include but are not limited to the following:
Answer phone calls and return voicemails
Work with insurance companies and fill out Prior Authorization forms that include diagnosis, lab results and why a specific medication is required
Work with providers to complete Authorizations with justifications to get approvals for medications that have exclusions from plans
Assist provider with appeals of denials including medical necessities
Log and upload prior authorizations
Stay knowledgeable of insurance-approved medications and formulary changes Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. "Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act".
Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.
Baltimore, MD
Pay From: $20 per hour
MUST:
3 years of experience with obtaining prior-authorizations
Must have knowledge of insurance carriers
Strong experience obtaining Prior Authorizations for medications and writing up medical necessities
Uploading and logging prior authorizations
DUTIES:
The Duties of the Prior Authorizations include but are not limited to the following:
Answer phone calls and return voicemails
Work with insurance companies and fill out Prior Authorization forms that include diagnosis, lab results and why a specific medication is required
Work with providers to complete Authorizations with justifications to get approvals for medications that have exclusions from plans
Assist provider with appeals of denials including medical necessities
Log and upload prior authorizations
Stay knowledgeable of insurance-approved medications and formulary changes Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. "Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act".
Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.
Salary : $20