Therapy Access Specialist (Contractor)
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Key details
- Location
- United States
- Work style
- Remote
- Level
- Mid level
- Job type
- Contract
- Experience
- 3–5 yrs
- Function
- Healthcare
- Focus area
- other
- Posted
- 3w ago
Skills
About the role
About Cala
At Cala, we’re working to free people from the burden of chronic disease. We began by creating the first non-invasive prescription therapy for hand tremor. After years of careful fine-tuning and improvements, we recently released kIQ® Plus, our most sophisticated therapy yet. Our products have empowered thousands of people to get back to their lives with confidence and ease.
But we won’t stop there. Our pioneering technology can be applied across neurology, cardiology, and beyond. It’s all part of our mission to help people in their struggle with chronic disease. We’re only just getting started
The Opportunity
The Therapy Access Specialist provides operational support to the Therapy Access organization including, but not limited to, contact patient and healthcare provider for documentation, verify insurance benefits, secure authorizations and other duties, as required. Other duties may include data entry of new patient referrals. This is a contractor (1099) position.
The Specialist requires specific knowledge of health insurance plans, interpretation of benefits and prior authorization protocol. Also, general knowledge of durable medical equipment (DME) coverage landscape is strongly recommended.
Location: Remote, must reside in the United States
Reports to: Associate Director, Therapy Access
Responsibilities
- Effectively and accurately verify active health insurance coverage via phone call with a payor representative.
- Effectively and accurately utilize the payor websites, such as Availity, NaviNet and others, to verify insurance eligibility and submit prior authorizations.
- Ability to communicate in a clear and effective manner, both orally and in writing.
- Ability to maintain confidentiality.
- Document all interactions and calls into the customer relationship management (CRM) system in accordance with Quality Assurance, Regulatory and HIPAA guidelines. Collaborate with Sales Support Representatives to transfer benefit verification and authorization data so the sale is completed accurately and efficiently.
- Data entry of new patient referrals into CRM
- Contact new patient referrals for insurance confirmation.
- Provide telephone and department support, as needed.
- Performs other related clerical duties, as assigned.
Skills and Experience
- 3 to 5 years of medical insurance experience, preferably at a medical company
- Bachelor’s degree is strongly preferred; High school diploma or equivalent required
Experience in insurance benefits and eligibility - Strong computer skills including CRM (Salesforce.com), payor sites, such NaviNet and Availity
- Strong organizational skills and attention to detail
- Strong customer service skills
Physical Demands
- While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, and use hands and fingers to operate a computer, telephone and keyboard
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