Prior Authorization Submitter (Medtech)

Location: Remote within the United States; must live in the Pacific or Mountain time zones. Travel to the Pittsburgh office for team activities and training approximately four times per year.

Salary: $20 per hour

Company

Assistive communication solutions provider focused on helping people with disabilities express themselves, connect with the world, and live richer lives.

What you will do

• Review funded cases and verify that all required information is accurate and complete.
• Create and submit prior authorization packets according to payer requirements through online portals, fax, and mail.
• Save submission packets and document each authorization step in the electronic medical records database.
• Follow up with payers regarding submitted requests and decisions.
• Identify and report payer trends and support other intake functions as needed.

Requirements

• High school diploma.
• One year of experience in a medical office with knowledge of diagnosis codes, prior authorizations, and insurance companies, or one year of experience submitting prior authorizations for medical services.
• Knowledge of coordination of benefits involving Medicare, Medicaid, and third-party insurance.
• Strong Microsoft Word and Outlook skills, with the ability to use multiple online applications simultaneously.
• Familiarity with modifying, merging, and splitting PDF files, strong attention to detail, and the ability to spend up to 90% of working hours making outgoing calls.
• Must live in the Pacific or Mountain time zones and be able to travel to the Pittsburgh office approximately four times per year.

Culture & Benefits

• Purpose-driven work supporting people with disabilities.
• Collaborative environment that welcomes individuality and diverse perspectives.
• Remote work arrangement with occasional office-based team activities and training.
• Work requires prolonged desk time and the ability to handle interruptions in a fast-paced environment.