About this role
We’re Hiring | Senior Medical Approvals Officer
Are you a medical professional with solid experience in Medical Approvals and a strong ability to handle complex cases?
Limitless Care is looking for a Senior Medical Approvals Officer to join our team
Requirements
- Review and make decisions on complex medical approval cases based on medical necessity, appropriateness, and coverage policies.
- Handle escalated cases and provide sound medical recommendations.
- Ensure patient care considerations are addressed while maintaining compliance with medical and insurance guidelines.
- Support the quality and consistency of the medical approvals process.
- Collaborate with internal teams and stakeholders to ensure timely case resolution.
Qualifications
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Bachelor’s degree in Pharmacy.
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3+ years of experience in Medical Approvals.
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Strong knowledge of medical insurance and approval processes.
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Strong analytical, decision-making, and problem-solving skills.
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Excellent communication and interpersonal skills.
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Good command of Microsoft Office.