Prior Authorization Representative- Evernorth- Remote
Core
Submit prior authorization requests for home infusion and enteral nutrition services to insurance payers to reduce patient care delays.
Role type
Administrative support specialist (prior authorization)
Builds
Timely approval of medical services for patients
Domain
Healthcare / Insurance
Deliverable
client delivery
Required skills
Medical terminology, Microsoft Office, data entry, customer service, attention to detail, communication
Preferred skills
Prior authorization, insurance verification, payer portals, home infusion, DME
Responsibilities
Submit initial and renewal prior authorization requests via portals, phone, or fax; Track open requests and follow up to reduce delays; Review information for accuracy before submission; Gather medical documents with clinicians; Share updates with patients and providers; Respond to emails and chats; Manage daily tasks and priorities.