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Prior Authorization Specialist
A company is looking for a Prior Authorization Specialist responsible for obtaining pre-certifications and pre-authorizations for procedures and medications. Key Responsibilities Obtain timely prior authorization or pre-determinations from various insurance plans Select and review pertinent medical records from patients' charts Document all prior authorization follow-ups and determinations in the company's software or client's EMR Required Qualifications High School Diploma or GED 1+ year of healthcare prior authorizations experience Experience in submitting prior authorizations Familiarity with medical terminology, especially in Oncology Basic computer literacy and strong teamwork capabilities
A company is looking for a Prior Authorization Specialist responsible for obtaining pre-certifications and pre-authorizations for procedures and medications.
Key Responsibilities
Obtain timely prior authorization or pre-determinations from various insurance plans
Select and review pertinent medical records from patients' charts
Document all prior authorization follow-ups and determinations in the company's software or client's EMR
Required Qualifications
High School Diploma or GED
1+ year of healthcare prior authorizations experience
Experience in submitting prior authorizations
Familiarity with medical terminology, especially in Oncology
Basic computer literacy and strong teamwork capabilities