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Posting Date:

15 Mar 2022

Prior Authorization Lead - Radiology

Reference# 

PAL010FL

Work Location:

Sunrise, FL

Job Type:

Full-time

About the Role

  • Be the subject matter expert in a consulate role for the product development and data science team to architect and enhance the product offerings.

  • Represent the company as the product expert to gather customer requirements in the pre-sales process

  • Be the key player in onboarding a new customer on our product as well as deliver product training to the customer

  • Review the output of the product to ensure the correctness of eligibility and prior authorization

  • Play an assistive role in resolving customer-reported issues.

  • Other duties as instructed

Requirements

  • At least 3 years of experience in prior authorization process for Diagnostic Imaging / Radiology as a lead or trainer

  • High school or equivalent education (Preferred)

  • In-depth knowledge of the process for Eligibility & benefits verification; patient responsibility

  • In-depth knowledge of determining payor requirements in different markets for different procedures

  • In-depth knowledge of the process for obtaining prior authorization

  • Ability to communicate clearly; written and verbal

  • Outside the box thinker, fast learner, and hard-working team player

  • Impeccable attention to details

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