Prior Authorization Submitter

Key Responsibilities

• Review funded cases and verify required information to submit is present and correct
• Create prior authorization packet according to payor requirements
• Submit prior authorization request according to payer requirements
• Save submission packet to electronic record
• Document all steps taken to move case forward with authorization process
• Follow up on requests submitted to payors
• Identify and report payor trends
• Affords assistance with other Intake functions as needed to meet team goals
• Performs various other tasks as assigned

Minimum Qualifications

• High school diploma
• One year experience working in a medical office and familiar with diagnosis codes, prior authorizations, insurance companies
• One year experience of submitting for prior authorization for medical services

Communication Skills

• Consistently demonstrate characteristics in alignment with the Tobii Values
• Ability to communicate with department managers and director

Computer or Technical Skills

• Strong MS Office Word and Outlook skills
• Comfort with using multiple online apps and programs simultaneously
• Familiar with modifying, merging, and splitting PDFs

Other Skills Requirements

• Knowledge of coordination of benefits of Medicare, Medicaid, and third-party insurance
• Detail oriented
• Spending up to 90% of working hours on the phone, making outgoing calls

Work Environment Requirements

• Ability to work at a desk for prolonged periods
• Able to work with interruptions in a fast-paced environment
• Able to travel to the Pittsburgh office for team activities/trainings (approx. 4 times per year)