Authorization Specialist I
A company is looking for an Authorization Specialist I - Remote - Per Diem.
Key Responsibilities
Obtains and tracks authorizations/re-authorizations for patients according to insurance policies
Initiates Peer to Peer communications with payers and collaborates with providers to secure Medical Necessity letters
Monitors authorization work queues and troubleshoots authorization denials
Required Qualifications
High School Diploma; Associate's degree preferred
Certification in CCS, CCS-P, CPC, or specialty coding preferred
One to three years of experience in a healthcare environment with prior authorization experience
Knowledge of HIPAA laws and managed care reimbursement requirements
Proficient in Microsoft Office applications; experience with EPIC or similar EMR systems preferred
A company is looking for an Authorization Specialist I - Remote - Per Diem.
Key Responsibilities
Obtains and tracks authorizations/re-authorizations for patients according to insurance policies
Initiates Peer to Peer communications with payers and collaborates with providers to secure Medical Necessity letters
Monitors authorization work queues and troubleshoots authorization denials
Required Qualifications
High School Diploma; Associate's degree preferred
Certification in CCS, CCS-P, CPC, or specialty coding preferred
One to three years of experience in a healthcare environment with prior authorization experience
Knowledge of HIPAA laws and managed care reimbursement requirements
Proficient in Microsoft Office applications; experience with EPIC or similar EMR systems preferred