The Coverage Determination Representative gathers information for authorizations, submits forms to insurance, tracks responses, and documents outcomes while communicating with prescribers and staff.

This role involves obtaining and processing prior authorizations from insurance companies, tracking progress, and documenting outcomes, while communicating with prescribers and internal staff.

The Appeals Coordinator manages patient appeal processes, gathers necessary information, communicates with insurance, and documents appeal statuses while liaising between departments.

Manage payor relations and contractual obligations, ensure compliance, provide client support, and analyze contracts and reports to drive growth.

The Enrollment Representative gathers insurance verification, prepares documentation, and ensures compliance with a 2-hour response promise while providing excellent customer service.