PRIOR AUTHORIZATION SPECIALIST- REMOTE POSITION-FT
About the position Responsibilities • Obtains prior authorizations/pre-certification per payer requirements for physician ordered procedures. • Verifies physician orders, authorization, and demographic information before sending to the hospital scheduling department. • Maintains communication with providers, clinical staff, and patients regarding authorization status. • Assists the billing department in researching and resolving rejected, incorrectly paid, and denied claims. • Stays current with insurance requirements for prior authorizations and provides education within the department and to clinical staff. • Maintains efficient tracking of all pending authorizations to ensure timely resolution. • Performs other duties as assigned. Requirements • Must be at least 16 years of age (21 for driving positions). • Must be able to legally work in the United States. • Must be able to pass a background check. • Must be able to pass a drug screen and breath alcohol test (if applicable). • Must complete employee health meeting. • High School Diploma or equivalent preferred. • Past knowledge of CPT, HCPCS, and ICD-10 codes. • Past knowledge of Medical Terminology. • Past experience in the prior authorization process. • Past experience with Microsoft Office to include Word, Excel, and PowerPoint helpful. • Data entry experience. Nice-to-haves • Bilingual. Benefits • Medical • Dental • Life • Retirement • Paid Time Off Apply tot his job Apply tot his job