Address
Form of work
SalaryOur Company:
Amerita
Overview: Amerita is a Specialty Infusion company focused on providing complex pharmaceutical products and outstanding clinical service to patients outside of the hospital setting; with exceptional employees that are dedicated to providing the best quality care and service in an ethical, sound, supportive and customer-focused environment. We have developed a culture which supports our staff of caregivers and their families by providing fair and competitive compensation, high quality affordable benefits, and fulfilling work in a fun, friendly environment.
Responsibilities: - Obtains the branch’s core initial authorizations and re-authorizations as required by payers. Obtains specialty re-authorizations for branch.
- Enters PATIENT AUTHORIZATION information into the computer system.
- Generates tracking reports from CPR+ to assist with tracking of authorizations and daily Rx dispensing reports to identify changes in patient’s therapy.
- Communicates with other departments regarding the status of authorizations.
- Understands which insurance providers have active contracts with Amerita.
- Manages assigned statuses (Auth, Auth Pending) in the Ready to Bill.
- Maintains confidentiality of patient and proprietary information.
- May support more than one branch.
- High School Diploma/GED or equivalent required; Associate’s Degree or some college preferred
- Minimum two (2) years of experience collecting referral information in the healthcare market
- Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies
- Knowledge of insurance verification and pre-certification procedures
- Understands the scope of services that Amerita can provide
- Strong verbal and written communication skills
