PRO-spectus’ Post

View organization page for PRO-spectus, graphic

2,429 followers

We keep growing... and as always are 100% #remote! ↪ Case Manager ↪ Payor Specialist #CaseManager is a professional external-facing role, which is responsible for oversight of cases throughout the authorization/approval journey for patients and their providers. This role relies on critical thinking skills to drive cases through complex authorization and appeal processes, with the primary focus of expediting patients’ access to care while securing payment channels to avoid unexpected out of pocket cost. This may involve interacting with private commercial or government-run insurers, healthcare providers, suppliers/distributors, and patients to ensure access across the care continuum. #PayorSpecialist is responsible for verifying insurance coverage, submitting authorization requests and maintaining follow-up communication with insurance companies. More specifically, this role verifies patient insurance benefits for specific procedure coverage, facilitates product related authorization/approval, and requests network or payment related exceptions. Check out the job postings and apply today at our Career Center! https://rb.gy/1pbymp Our culture at PRO-spectus is supportive, dedicated, and teamwork-driven, and our team members bring strength of mind and spirit to make the extraordinary happen every day. If you have a relentless focus on the higher purpose of improving patients’ lives, you will want to join our team! #alwaysremote #newcareer #patientsfirst

Recruitment

workforcenow.adp.com

Hi Amy Madden, SHRM-SCP. Messaged regarding the case manager opportunity!

Like
Reply

To view or add a comment, sign in

Explore topics