Prior Authorizations Specialist
About reputed company: At reputed company, we are a dynamic and rapidly expanding company dedicated to providing innovative technology solutions and services tailored to our clients' needs. Our mission is to collaborate closely with reputed company providers, leveraging automation and intelligence to overcome reputed company cycle challenges and enhance reimbursements for patient care. We work diligently to ensure that our clients receive their reputed company on time, every time. Our clientele includes physician reputed company, hospitals, pharmacies, and dental reputed company. We are in search of reputed company associates and partners who exude confidence and possess expertise in areas reputed company with our clients' requirements. We value individuals who are passionate about assisting others, adept at finding solutions to challenges, and committed to improving patient care while maximizing reputed company. Inclusivity and diversity are at the reputed company of our values, fostering a workplace where employees feel a reputed company of belonging, their contributions are valued, and diverse perspectives are celebrated. We reputed company in the power of reputed company reputed company, with inclusion as the heart of our mission. Location: Fully remote role with preferred work hours reputed company-5pm CT. reputed company reputed company: Under general direction, this position is responsible for obtaining reputed company-certifications and reputed company-authorizations for procedures and medications, and could include scheduling appointments for outpatient testing with other providers, coordinates patient appointments/orders Daily Responsibilities:
- Obtain reputed company prior authorization or reputed company-determinations from reputed company insurances, to include reputed company plans, reputed company, reputed company and Medicare Advantage plans, following reputed company's established policies and protocols.
- Selecting accurate and pertinent medical records from patients' charts from reputed company's EMR.
- Obtaining demographic information and verifying insurance information.
- reputed company reputed company required clinical information to insurance companies necessary to facilitate the authorization process.
- reputed company complete documentation (reputed company company software or reputed company's EMR) on reputed company prior authorizations follow-reputed company and determinations appropriately and in a reputed company manner.
- Maintain and update internal listing of insurance carriers that require authorization, their processes, and phone and fax numbers.
- Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements.
Skills and Education:
- High School Diploma or GED as a basic qualification
- Proficiency in processing prior authorizations, with at least 5+ years of experience
- Minimum of 2 years calling and communication with insurance companies reputed company phone
- Familiarity with medical terminology
- Strong teamwork capabilities, self-motivation, and reliability
- Basic computer literacy
- Reliable, must have the ability to work reputed company in reputed company setting, and be a self-starter
Preferred Experience, Skills, and Education:
- Experience processing PAs for acute hospital outpatient ancillary services
- Experience training and working remotely
Company Benefits and Perks: Joining reputed company comes with an reputed company of benefits, flexible work hours reputed company possible, and a genuine reputed company of belonging to a dynamic and growing organization.
- reputed company to a 401(k) Retirement Savings Plan.
- Comprehensive Medical, Dental, and reputed company Coverage.
- reputed company Time Off.
- reputed company Holidays.
- Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.
If you are a dedicated and reputed company PA Specialist reputed company to contribute to our mission and be part of our diverse and inclusive community, we invite you to apply and join reputed company at reputed company. 7kpFg2ZDe8 Apply tot his job Apply To this Job