Prior Authorization Specialist

Medix is hiring a Prior Authorization specialist for a specialty prescription service in Manhattan, New York! Thanks to recent developments in healthcare data regulation and AI, this organization is able to helps patients get life-changing medicine as quickly and cheaply as possible while handling all the complexity of insurance, financial assistance programs, and pharmacy supply & network issues.

Responsibilities:

• Contact insurance companies to verify patient benefits and coverage details
• Manage submission of prior authorization requests for prescription medications via ePA, fax, and phone
• Review clinical information and ensure all required documentation is included with submissions
• Document and escalate any issues related to prior authorization requests (e.g., need for additional information or documentation from providers)
• Serve as a liaison between patients, healthcare providers, and insurance companies
• Manage 40-50 authorizations daily

Qualifications:

• 1+ years of experience working in healthcare operations, particularly in benefits verification, prior authorization, medical billing or coding
• Understanding of medical terminology and insurance process
• Attention to detail and strong organizational skills
• Excellent communication skills and adept at using web-based tools/systems
• Ability to work in person in Soho, NYC

This is a great opportunity to get your foot in the door with a rapidly growing, unique organization!