MedCore Solutions, the healthcare division of Bizforce, is seeking a skilled Prior Authorization Specialist to join our growing team. The Prior Authorization Specialist we be primarily responsible for obtaining all types of prior authorizations. These prior authorizations will include biologic medications, procedures, prescriptions and out-patient testing. The position will require professional and courteous interaction with patients, pharmaceutical representatives, providers, pharmacies and insurance carriers to accurately obtain the required information to process prior authorizations.
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System Requirements
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Who are we?
BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!
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Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.
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MedCore Solutions, the healthcare division of Bizforce, is on the lookout for a dedicated Prior Authorization Specialist to join our dynamic team. In this role, you'll be responsible for navigating the intricate world of prior authorizations, ensuring that biologic medications, procedures, prescriptions, and outpatient testing are processed accurately and efficiently. You'll collaborate with patients, healthcare providers, and insurance companies, helping to streamline the process and remove barriers to care. With your excellent communication skills, you will handle patient inquiries, verify insurance eligibility, and ensure that all documentation is complete and flawless before submission. Your attention to detail will shine as you work tirelessly to document all interactions in our electronic medical record (EMR) system, ensuring compliance and efficiency in our operations. This role is fully remote, allowing you to enjoy a flexible work environment while upholding our commitment to safe, patient-centered care. If you have 3-5 years of experience as a Prior Authorization Specialist in the US healthcare sector, a solid understanding of medical billing processes, and a passion for helping others, we want to hear from you! At Bizforce, we value our team and provide a thriving culture, with exclusive training programs and competitive salaries, ensuring you have everything you need to unlock your potential in this rewarding role.
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