Prior Authorization Specialist - Remote

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Join to apply for the Prior Authorization Specialist - Remote role at Pure HealthcareJoin to apply for the Prior Authorization Specialist - Remote role at Pure HealthcareGet AI-powered advice on this job and more exclusive features.Position SummaryThe Intake Coordinator (Level 2) is responsible for the successful completion of prior authorizations for new infusion therapy treatments.This process requires high levels of organization, dedication, and persistence.The position serves as an advocate for patients and aggressively fights on behalf of patients to receive access to needed therapies.Position SummaryThe Intake Coordinator (Level 2) is responsible for the successful completion of prior authorizations for new infusion therapy treatments.This process requires high levels of organization, dedication, and persistence.The position serves as an advocate for patients and aggressively fights on behalf of patients to receive access to needed therapies.Key ResponsibilitiesComfortable working daily with insurance payers to gain prior authorization approval for specialty drug treatments.Comfortable working with remote teams in multiple states to coordinate access to specialty drugs and infusion treatments.Understands and accurately applies requirements for prior authorization of specialty drug regimens.Ensures eligibility and benefits are properly verified prior to the initial visit and thereafter as directed.Exhibits excellent customer service skills and serves as an advocate for the patient in obtaining and understanding all assistance programs.Performs other related duties as assigned or requested in order to maintain a high level of service.Demonstrates professional work behavior by following Service Standards and Success factors.Complies with departmental organizational policies and procedures and adheres to external agency requirements.The level 2 Intake coordinators primary focus and responsibility includes gaining authorizations from federal and commercial payers.Required Knowledge And SkillsDemonstrated work history of being successful at handling prior authorizations, appeals and denials.Demonstrates clear communication and effective collaboration to optimize patient care and clinic operationsExcellent customer service skillsAbility to collaborate with others and offer outstanding customer service.Demonstrates a High degree of computer literacy in a PC environment.Strong organizational, interpersonal and communication skills.Six months of experience of successfully completing federal payer authorizations.Three months of experience successfully completing commercial payer authorizations.Education / Licensure / Technical Requirements.High school Diploma or equivalent requiredSome college or business school training preferredSix months of experience with prior authorizations, federal and commercial required.Ability to meet U.S.employment and eligibility requirementsSeniority levelSeniority levelEntry levelEmployment typeEmployment typeFull-timeJob functionJob functionOtherIndustriesHospitals and Health CareReferrals increase your chances of interviewing at Pure Healthcare by 2xSign in to set job alerts for Specialist roles.Salt Lake City, UT $24.00-$ hours agoDevelopment Coordinator - Utah or Colorado- RemoteSalt Lake City, UT $70,000.00-$120,000.00 5 days agoWest Valley City, UT $23.25-$30.50 4 days agoCustomer Service and Rebate Processing SpecialistSalt Lake City, UT $17.00-$21.00 2 weeks agoLehi, UT $87,120.00-$108,900.00 1 week agoSalt Lake City, UT $80,000.00-$85,000.00 2 weeks agoWest Valley City, UT $37.00-$58.00 2 weeks agoSalt Lake City, UT $90,000.00-$95,000.00 1 month agoAccount Executive - Global Employment ServicesSalt Lake City, UT $33.00-$ hours agoLehi, UT $87,120.00-$108,900.00 1 week agoSalt Lake City, UT $100.00-$ hours agoSalt Lake City, UT $150,000.00-$180,000.00 2 weeks agoMarketing Analyst, Customer Lifecycle ManagementLehi, UT $87,120.00-$111,420.00 1 week agoLehi, UT $135,000.00-$145,000.00 1 week agoSalt Lake City, UT $19.00-$34.40 1 week agoSalt Lake City Metropolitan Area $30.00-$50.00 1 week agoSpecialty Sales Consultant- Salt Lake CityCT Clinical Education / Applications Specialist Southwest US ( NV, UT,CO)Salt Lake City, UT $72,200.00-$108,300.00 1 week agoLehi, UT $111,600.00-$139,500.00 1 week agoSalt Lake City Metropolitan Area 21 hours agoFranchise Business Consultant, Big O Tires (Salt Lake City, UT)Were unlocking community knowledge in a new way.Experts add insights directly into each article, started with the help of AI.J-18808-Ljbffr.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

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This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...