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Medical Administrator

https://www.roberthalf.com Logo

Robert Half

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Location:
United States, Centennial

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

This role is predominantly onsite and requires a strong foundation in the pharmacy sector and a good comprehension of insurance authorization procedures. The selected individual will play an integral role in securing suitable insurance approvals for growth hormone therapies and additional medical requirements, contributing to an improved patient experience.

Job Responsibility:

  • Handle online submissions and manage a significant amount of paperwork, ensuring records are accurately maintained
  • Regularly update families on the status of authorizations, delivering both positive and challenging news with sensitivity and professionalism
  • Act as a backup for the team, assisting when required and ensuring a seamless workflow
  • Process statements of medical necessity and secure prior authorizations for growth hormone therapies by contacting insurance providers directly
  • Manage approvals, denials, and appeals for submitted authorizations, resolving issues as they arise
  • Maintain email correspondence with insurance providers, families, and medical teams and handle approximately 20-30 calls per day
  • Navigate complex authorization processes and ensure that families and medical staff are guided and supported

Requirements:

  • Proficiency in ADP - Financial Services
  • Familiarity with Allscripts software
  • Experience with Cerner Technologies is beneficial
  • Competence in various Computer Programs
  • Knowledge of EHR SYSTEM
  • Capable of effectively Answering Inbound Calls
  • Experience in Billing Functions
  • Ability to create and understand Charts - Graphs
  • Expertise in Claim Administration
  • Familiarity with Clinical Trial Operations is advantageous

Nice to have:

Familiarity with Clinical Trial Operations

What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
March 27, 2025

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:
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