This is an exciting opportunity to join a rapidly growing company!
PRIA Healthcare works with the most progressive companies in the MedTech industry, we build comprehensive patient access solutions that accelerate the commercialization and rapid adoption of truly innovative procedures. We are currently looking for a Medical Claims Team Lead that is ready to join our team of skilled and dedicated individuals supporting the mission of patient access to care and customer service.
In this role, you will be supporting a team of Case Managers that support our Patient Access programs. Our Patient Access Programs are designed to be dedicated to a specific Medical Device Manufacturer with a new and innovative medical device, considered to be Experimental/Investigational and provide day to day support of Prior Authorizations and Appeals for those specific Category 3 CPT codes. Our goal is to drive product/program utilization by submitting patient-based appeals of denied authorizations. By driving utilization and demonstrating demand we are working to create positive insurance coverage for the new product. Experience working with insurance authorizations and appeals and knowledge of medical reimbursement policies within a healthcare organization are required.
In addition to a well-rounded benefits package, Paid Time Off, Medical/Dental/Vision and 401(k), we also offer our employees training opportunities including tuition reimbursement, career development courses and employee referral programs.
But wait, there’s more… culture is what unites us. We are proud of the environment we have built that defines our culture and focuses on keeping our employees engaged, healthy, happy and motivated. We have committees that meet regularly to develop creative ideas to plan fun activities, volunteer work days and to promote wellness.
PRIA Healthcare was recognized as one of the Best Places to Work in Connecticut in 2020!
PRIA Healthcare Management offers a competitive package of benefits including but not limited to Medical/Dental Insurance, 401K, Access to Long Term and Short-Term Disability, Paid Time Off and Paid Holidays.
This position will work out of our West Hartford office location, 71 Raymond Road, West Hartford (SPACES) in Blue Back Square.
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