Prior Authorization Specialist

Description:

The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim.

Additional Skills & Qualifications:

1)1-2 years of recent Prior Authorization Exp. in a hospital setting

2)1-2 years of recent Exp, with medicare/medicaid and commercial payers

3) basic medical terminology

4) Epic experience

Hours:

Monday - Friday 9AM - 5:30 PM ON SITE

   Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.  If eligible, the benefits available for this temporary role may include the following: 

§  Medical, dental & vision 

§  Critical Illness, Accident, and Hospital 

§  401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available 

§  Life Insurance (Voluntary Life & AD&D for the employee and dependents) 

§  Short and long-term disability 

§  Health Spending Account (HSA) 

§  Transportation benefits 

§  Employee Assistance Program 

§  Time Off/Leave (PTO, Vacation or Sick Leave)