What we are looking for
Optime Care is seeking a Prior Authorization and Appeals Specialist. We are looking for someone who is passionate about helping people get the specialized therapies they need. This critical role manages the process of receiving, researching, and resolving Prior Authorizations and Appeals issues with health insurance companies, including any escalated step of the appeals process.
What the position will be doing
Necessary Skills, Education & Abilities
About us
Optime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. We focus on securing insurance coverage, coordinating care, and complying with therapy regimens are only a few examples. Our mission is to minimize the daily impact of living with unique disorders. After just one call, our experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.
What sets us apart
· Our focus on people- our customers, partners, and coworkers
· A company culture that embraces going beyond expectations in everything we do
· A leader in providing specialty pharmaceuticals to individuals with unique conditions
· An opportunity to learn from some of the best in the business
· A diverse and inclusive culture that embraces innovation
Optime Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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RWJBarnabas Health is an Equal Opportunity Employer