Job: Auth/Rx Eligibility Specialist

Option 1 Healthcare Solutions is the leading enteral nutrition provider in the Western United States. We combine outstanding patient care services, clinical excellence and a wide variety of complementary products to support our patients in their ongoing therapies and transition into the home environment. Our primary responsibilities are to our patients, their families and the healthcare providers who use our services, by meeting their needs exceptionally well with prompt and consistently outstanding service and continuity of care.

Responsibilities:

• Send prescription and authorization requests to Doctor offices and Insurance companies
• Follow up with Doctor offices and Insurance companies as needed to ensure requests are received in timely manner
• Resolve Patient, Doctor office and Insurance company questions and concerns regarding CMN and/or PAR
• Meet daily, monthly and quarterly metrics and goals set by management
• Ensure work being performed meets internal and external compliance requirements
• Meet project deadlines as assigned
• Performs other related duties as directed by supervisor

Skills and Qualifications:

• Education or experience equivalent to a high school diploma is required
• At least one year related experience is required
• Strong organizational skills
• Computer literate – Word, Excel, Internet
• Ability to multi-task and manage priorities
• Strong customer service and communication skills
• Ability to work independently as well as in a team environment

Option 1 Healthcare is an equal opportunity employer. All employment decisions are made without regard to race, color, age, gender, gender identity or expression, sexual orientation, marital status, pregnancy, religion, citizenship, national origin/ancestry, physical/mental disabilities, military status or any other basis prohibited by law.

Because Option 1 Healthcare believes in providing a safe work environment, we conduct drug and background checks in our recruiting/hiring processes.