USRN Prior-Authorization

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced USRN to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you
Account Specific Roles and Responsibilities
Review and analyze patients' medical history, diagnosis, and previous medication records
Assess clinical documentation to ensure completeness and accuracy
Prepare, complete, and submit Prior Authorization requests to insurance providers
Fill out and submit attestation forms based on payer-specific guidelines
Ensure submissions align with insurance criteria and clinical protocols
Communicate with insurance companies regarding authorization stat...