Prior Authorization Representative- Evernorth- Remote

Responsibilities: The representative manages the prior authorization process for enteral nutrition services by submitting requests and following up with insurance plans. They coordinate between clinicians, patients, and providers to ensure timely approvals and reduce delays in care.

Requirements: Requires a high school diploma or GED and at least one year of experience in customer service, healthcare support, or a related administrative role. Candidates must be proficient in Microsoft Office and have a basic understanding of medical terminology.

Key skills: Prior Authorization, Customer Service, Medical Terminology, Microsoft Office, Data Entry, Insurance Verification, Patient Communication, Administrative Support, Problem Solving, Organization, Attention To Detail, Confidentiality

Keywords: Prior Authorization, Enteral Nutrition, Payer Portals, Insurance Eligibility, Coordination Of Benefits, Formularies, Denials, Appeals, DME, Home Infusion, Pharmacy, Patient Access, HIPAA, Microsoft Outlook, Microsoft Word, Microsoft Excel, Healthcare Administration, Specialty Pharmacy