Position Title:
VMA – Prior Authorization Specialist (Internal Medicine)
Company:
Staffingly Inc.
Department:
Location:
Remote
Shift:
US Shift
Job Summary
We are looking for a detail-oriented and experienced
VMA Prior Authorization Specialist
with a strong background in
Internal Medicine
and educational qualification of
Pharm-D
. The ideal candidate must have hands-on experience in
Eligibility Verification & Benefits Verification (EVBV)
along with expertise in handling insurance prior authorizations for medical services and medications.
Key Responsibilities
Process and manage prior authorization requests for Internal Medicine providers.
Perform insurance eligibility and benefits verification (EVBV) accurately.
Coordinate with insurance companies, providers, and patients regarding authorization status.
Review clinical documentation and ensure compliance with payer guidelines.
Follow up on pending...