• Verify patient insurance coverage and formulary compliance to confirm medication eligibility for approval.
• Communicate with healthcare providers, including physicians and nurse practitioners, to gather additional information when required.
• Ensure all necessary documentation and supporting information are included in PA submissions.
• Review and process prior authorization (PA) requests for office visits in alignment with insurance requirements.
• Provided prompt, polite, and professional in-person and telephone customer service.
• Updated patient information and insurance details for accurate electronic medical records.
• Coordinated patient scheduling and prepared for physician examinations.
Answer telephone calls to offer office information, answer questions, and direct calls to staff.