Insurance Authorization Coordinator - (Exeter, NH)
Verify and call insurance company to obtain authorization for both Medical and Radiation Oncology services and medications. Qualifications: High-school graduate or equivalent one to 3 yrs of prior medical background desired Customer Service background Responsibilities: Develop criteria in Medical Oncology for each major insurance company for chemo and non-chemo drug coverage. Develop criteria in Radiation Oncology for each major insurances company for various treatment modalities. Liaison for both medical and radiation oncology for obtaining prior authorizations for drugs as well as radiation services. Review daily schedule, patient list of all patient's needing prior authorizations. Work collaboratively with pharmacy and clinical staff and providers to ensure documentation is available. Research, read and review guidelines of each insurance company to ensure coverage. Verify and call insurance company to obtain authorization.
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From Jobs2Careers - 1 month ago