✨ About The Role
- The position involves the collection of clinical and medical data to perform assessments and reviews based on health plan criteria.
- Responsibilities include conducting prospective, concurrent, and retrospective reviews of cases.
- The role requires timely communication of case decisions to various stakeholders, including physicians and patients.
- New hires will be expected to work a weekend shift as part of their permanent schedule rotation.
- The job involves sedentary work with extended periods of sitting and using multiple computer screens.
âš¡ Requirements
- Candidates must have at least two years of prior authorization experience to be considered for this role.
- Strong communication skills, both written and verbal, are essential for effective collaboration with healthcare professionals and internal departments.
- The ideal candidate should be able to multitask and prioritize effectively in a fast-paced environment.
- A background in clinical assessments and medical data documentation will be beneficial for success in this position.
- The role requires a high level of urgency and responsiveness to prior authorization requests and calls.