Prior Authorization Specialist
Company: VirtualVocations
Location: Racine
Posted on: November 7, 2024
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Job Description:
A company is looking for a Prior Authorization Specialist to
support the Patient Access Onshore department with insurance
verification and prior authorization requests for medical
services.
Key Responsibilities:
Contact payors for eligibility and benefit information, including
authorization requirements
Obtain prior authorizations and pre-certifications, submitting
complete and accurate requests
Follow up on pending authorization requests and maintain
documentation of authorization activity
Required Qualifications, Training, and Education:
2+ years of experience in healthcare administration or prior
authorization processes in radiology
Experience reviewing and processing prior authorization requests
for medical procedures and services
Ability to collaborate with healthcare providers and payers to
resolve prior authorization issues and appeals
Medical Assistant Certification or 5 years of experience in a
provider's office setting processing prior authorizations is
preferred but not required
Keywords: VirtualVocations, Gary , Prior Authorization Specialist, Other , Racine, Indiana
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