[Hiring] Prior Authorization Submitter @Tobii Dynavox

Role Description

The Prior Authorization Submitter (PAS) works directly with insurance companies to request a review for medical necessity and prior authorization for durable medical equipment before providing services. The PAS creates a submission packet and submits requests via online portals, faxes, and mail. After submitting for prior authorization, the PAS regularly follows up on the submission for payer decision. All completed steps must be noted in our electronic database of medical records.

The Prior Authorization Submitter must live in the Pacific or Mountain time zones to be considered.

Key Responsibilities:

• Review funded cases and verify required information to submit is present and correct
• Create prior authorization packet according to payor requirements
• Submit prior authorization request according to payer requirements
• Save submission packet to electronic record
• Document all steps taken to move case forward with authorization process
• Follow up on requests submitted to payors
• Perform various other tasks as assigned
• Identify and report payor trends
• Assist with other Intake functions as needed to meet team goals

Qualifications

• High school diploma
• One year experience working in a medical office and familiar with diagnosis codes, prior authorizations, insurance companies OR
• One year experience of submitting for prior authorization for medical services

Requirements

• Consistently demonstrate characteristics in alignment with the Tobii Values
• Ability to communicate with department managers and director
• Strong MS Office Word and Outlook skills
• Comfort with using multiple online apps and programs simultaneously
• Familiar with modifying, merging, and splitting PDFs
• Knowledge of coordination of benefits of Medicare, Medicaid, and third-party insurance
• Detail oriented
• Spending up to 90% of working hours on the phone, making outgoing calls

Work Environment

• Ability to work at a desk for prolonged periods
• Able to work with interruptions in a fast-paced environment
• Ability to travel to the Pittsburgh office for team activities/trainings (approx. 4 times per year)

Benefits

• We are able to pay this Prior Authorization Submitter $20/hr

Company Description

We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we’d love to hear from you.

We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger.

Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin.

Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled