Top 6 Prior authorization specialist Jobs in Reno Nv

Biologics Coordinator and Authorization Specialist
Northern Nevada Allergy Clinic —Reno, NV
- $19 - $23 an hour
- Full-time
- Customer service
- Medical office experience
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
4d
Transplant Financial Coordinator
Renown Health —Reno, NV
- Full-time
- Customer service
- Computer literacy
- Medical office experience
- Prescription drug insurance
INSURANCE VERIFICATION REPRESENTATIVE - Full Time Swing Shift
Northwest Specialty Hospital —Sparks, NV
- $18.13 - $25.84 an hour
- Full-time
- 18 years or older
- Hospital
- Adults
- Health insurance
- Dental insurance
8d
Medical Procedure Scheduler (Pain Management)
SIERRA NEUROSURGERY GROUP —Reno, NV
- $17 - $21 an hour
- Full-time
- Medical office experience
- Mid-level
- Perioperative Care
- Health insurance
- Dental insurance
Quick Apply
5d

More jobs to discover

Find similar jobs that you might be interested in.

Transplant Financial Coordinator
Renown Health —Reno, NV
Coordinates the ongoing pre-certification and approval process with insurance case managers and assist case managers with discharge planning to coordinate the…

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Central Intake Admissions Specialist
Otterbein SeniorLife —Columbus, OH
Tuition Reimbursement up to $5,250 per year for ANY field of study. Associate's or Bachelor's degree in Healthcare Administration, Business Administration,…
Quick Apply
12d
Prior Authorization Specialist
WSD —Westerville, OH
Must have prior experience with insurances and prior authorizations. Collaborate with clinical staff to ensure timely approvals for patient treatments.
$18 - $25 an hour
Quick Apply
3d

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in reno nv

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near reno nv

Pain Management Physician jobs in Reno, NV

Authorization Specialist jobs in Reno, NV

Insurance Agent jobs in Sparks, NV

Finance Coordinator jobs in Greenville, SC

Finance jobs in State College, PA

Finance Coordinator jobs in Seattle, WA

Clinical Research Coordinator jobs in San Jose, CA

Finance jobs in Oklahoma City, OK

Finance Coordinator jobs in Orlando, FL

Finance Coordinator jobs in Knoxville, TN

Pain Management Physician jobs in Orlando, FL

Physician Assistant jobs in Tacoma, WA

Pain Management Physician jobs in Remote

Pain Management Physician jobs in Dallas, TX

Waste Management jobs in Gastonia, NC

Pain Management Physician jobs in Fairfax, VA

Authorization Specialist jobs in Visalia, CA

Prior Authorization Pharmacy jobs in Florida

Authorization Specialist jobs in Hartford, CT

Authorization Specialist jobs in Beaumont, CA

Biologics Coordinator and Authorization Specialist

Northern Nevada Allergy Clinic -
Reno, NV

Quick Apply

Job Details

Full-time
$19 - $23 an hour
4 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Employee discount
Retirement plan

Qualifications

Vendor relationship building
Customer service

Full Job Description

What You’ll Be A Part of:
Everyone has an opportunity to make an impact and put their skills and interests front and center. We are growing and we want you to join our supportive culture and make your mark! Our team of doctors has an unwavering compassion for our patients and our employees. Be a part of something big!

Involved with Biologic Medications and Specialty Drugs

What You’ll Do:
The Biologics Coordinator performs a variety of administrative tasks that require an in-depth understanding of each insurance carrier’s authorization guidelines for medication approvals in order to ensure timely treatment for patients and reimbursement for services provided.

Obtains prior authorization for all biologics, oral medications, and Specialty Pharmacy.
Communicates with patients regarding authorization status and appointment times.
Follows up with insurance companies, specialty pharmacy and patients as needed.
Reviews necessary clinical data obtains physician clarification as required to obtain prior authorization.
Reports noncompliance, overage or stop of medication in real time to all specialty pharmacies, notes all calls to specialty pharmacy including date of call, pharmacy, person spoken to and any other key details in patients’ medical chart.
Responsible to manage all aspects of these medications from receiving, logging in medications inclusive of lot numbers, tracking, assigning to the appropriate patient as well as reconciling and account for all medication inventory.
Creates, maintains, and audits under physician supervision the policies and procedures for the biologics program.
Maintains an appropriate level of inventory to meet the needs of the clinic balanced by financially sound quantities of inventory based on usage and appropriate turnover to prevent expired medications, eliminate, or reduce overage and revenue loss.
Tracks and closely follows all co-pay assistance cards
Understands the differences and usage parameters of specialty pharmacy drug, foundation drug, starter kits and sample medication. Can train all clinical team members on these types and usage and monitors for compliance.
Monthly inventory inclusive of expirations dates monitoring and reconciliation of inventory on hand. Reports discrepancies with action plan to leadership.
Follows all action required for recall notifications and appropriate destruction per company policy’s, ours as well as the manufactures.
Verifies all drugs are stored per manufacturer’s protocol, in a secure location.
Basic knowledge of the medications used in the clinic, any special handling procedures, disease application of the medications, REMS requirements procedures if required by the FDA.
Maintains relationships with manufacture and wholesale distributors as well as their key personnel.
Ability to administer biologics to patients

Experience Required

HS graduate, GED, associate degree or vocational education.
Three years medical office experience required or pharmacy technician licensing
Inventory Management experience preferred
One to two years preauthorization experience preferred.
Experience working in an office setting (beyond an externship) preferred.
Medical insurance terminology required.
Excellent organization, documentation, time management, customer service and telephone skills.

Benefits You’ll Receive:
Our benefits reflect our commitment to our employees. We take pride in offering a competitive benefits package including health, dental, life, and long-term disability insurance.

Job Type: Full-time

Pay: $19.00 - $23.00 per hour

Benefits:

401(k)
Dental insurance
Employee assistance program
Employee discount
Health insurance
Paid time off
Retirement plan
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

prior authorization specialist jobs in reno nv

Biologics Coordinator and Authorization Specialist

Transplant Financial Coordinator

INSURANCE VERIFICATION REPRESENTATIVE - Full Time Swing Shift

Medical Procedure Scheduler (Pain Management)

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization specialist in reno nv

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected