Planet Pharma
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Patient Access Representative
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Planet Pharma 5 days ago Be among the first 25 applicants Join to apply for the
Patient Access Representative
role at
Planet Pharma Job Description
The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases Job Description
The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases
Responsibilities Include, But Are Not Limited To
Validates insurance patients coverage, communicate any issues with benefits or coverage to the appropriate managers Checks the requirements for prior authorization and initiates as required Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required Follows up frequently to ensure visibility on authorization status throughout the approval process Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of the companies therapy codes Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders, Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail
The Planet Group of Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Staffing and Recruiting Referrals increase your chances of interviewing at Planet Pharma by 2x Sign in to set job alerts for “Patient Access Representative” roles.
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Patient Access Representative
role at
Planet Pharma 5 days ago Be among the first 25 applicants Join to apply for the
Patient Access Representative
role at
Planet Pharma Job Description
The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases Job Description
The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases
Responsibilities Include, But Are Not Limited To
Validates insurance patients coverage, communicate any issues with benefits or coverage to the appropriate managers Checks the requirements for prior authorization and initiates as required Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required Follows up frequently to ensure visibility on authorization status throughout the approval process Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of the companies therapy codes Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders, Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail
The Planet Group of Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Staffing and Recruiting Referrals increase your chances of interviewing at Planet Pharma by 2x Sign in to set job alerts for “Patient Access Representative” roles.
Greater Minneapolis-St. Paul Area $18.89-$28.03 1 week ago Patient Services Coordinator Ambulatory II - FOH, Ambulatory Float Pool
Patient Care Coordinator - Roseville/Woodbury Orthodontics
Patient Access Specialist I - Site Based (Burnsville Clinic)
Greater Minneapolis-St. Paul Area 5 days ago Patient Care Coordinator-MPDA-North Oaks
Patient Access Representative Lead - Minneapolis, MN
Patient Care Coordinator - North Region Float
Minneapolis, MN $23.00-$26.00 2 months ago Patient Care Coordinator - Plymouth West Periodontics
Admissions Scheduler - Behavioral Health
Health Center Associate I - Minneapolis, MN
Brooklyn Park, MN $22.00-$28.00 2 weeks ago Overnight Patient Access Financial Specialist
Patient Scheduler (Specialty Access Center)
Double: Remote Executive Assistant (Central US)
Clinic Appointment Coordinator (Second Floor - CSC)
Non-Clinical Pre-Admission Coordinator - Revo Health
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr