[Hiring] Prior Authorizations Specialist @reputed company

Role 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, coordinating patient appointments/orders.

• Obtain reputed company prior authorization or reputed company-determinations from reputed company insurances, including reputed company plans, reputed company, and Medicare Advantage plans, following reputed company's established policies and protocols.
• Select accurate and pertinent medical records from patients' charts from reputed company's EMR.
• Obtain demographic information and verify 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.

Qualifications

• 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.

Requirements

• Experience processing PAs for acute hospital outpatient ancillary services.
• Experience training and working remotely.

Benefits

• 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.

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