Prior Authorization Specialist
A company is looking for a Prior Authorization Specialist I - Per Diem.
Key Responsibilities
Screen and process prior authorization requests, including authorizing specified services according to departmental guidelines
Coordinate financial clearance activities, including insurance verification and obtaining necessary referrals
Communicate with providers and patients to resolve inquiries related to prior authorizations and ensure compliance with policies
Required Qualifications
High school diploma or GED required; Associate's Degree or higher preferred
4-5 years of office experience in a high-volume data entry, customer service, or healthcare setting
Experience with insurance verification, prior authorization, and financial clearance processes
Knowledge of medical terminology and familiarity with insurance payer websites
Bilingual preferred
A company is looking for a Prior Authorization Specialist I - Per Diem.
Key Responsibilities
Screen and process prior authorization requests, including authorizing specified services according to departmental guidelines
Coordinate financial clearance activities, including insurance verification and obtaining necessary referrals
Communicate with providers and patients to resolve inquiries related to prior authorizations and ensure compliance with policies
Required Qualifications
High school diploma or GED required; Associate's Degree or higher preferred
4-5 years of office experience in a high-volume data entry, customer service, or healthcare setting
Experience with insurance verification, prior authorization, and financial clearance processes
Knowledge of medical terminology and familiarity with insurance payer websites
Bilingual preferred