Prior Authorization Submitter

TL;DR

Prior Authorization Submitter: Managing the medical necessity review and authorization process for assistive communication equipment with an accent on payer requirements and documentation accuracy. Focus on coordinating with insurance providers, maintaining electronic medical records, and ensuring timely case progression.

Location: Remote (US), must be based in Pacific or Mountain time zones. Ability to travel to the Pittsburgh office for team activities/trainings (approx. 4 times per year) is required.

Salary: $20/hr (approx. $3,200/month)

Company

A global leader in assistive communication solutions dedicated to empowering people with disabilities.

What you will do

• Review funded cases to verify information accuracy and completeness.
• Create and submit prior authorization packets according to specific payer requirements.
• Document all steps taken in the electronic medical records database.
• Follow up regularly on submitted requests to ensure timely payer decisions.
• Identify and report payer trends to department management.
• Assist with other intake functions to meet team goals.

Requirements

• Must reside in Pacific or Mountain time zones.
• High school diploma.
• One year of experience in a medical office or submitting prior authorizations.
• Strong proficiency in MS Office (Word, Outlook).
• Experience modifying, merging, and splitting PDFs.
• Ability to spend up to 90% of working hours on the phone.

Culture & Benefits

• Collaborative work culture that values individuality.
• Opportunity to make a direct impact on customers' lives.
• Global company environment with a clear, impactful purpose.
• Flexibility to balance work and personal life.