We are looking for several Prior Authorization Specialists because of the amazing growth within its healthcare organization! The ideal prior experience would be working with physicians and clinical staff in a medical or clinical setting and a person who thrives in a fast paced, production-oriented work environment is also preferred!
Prior Authorization Specialists Responsibilities:
Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization
Extend expired authorizations when treatment has been delayed
Uses the insurance verification systems to contact the patient and their partner’s insurance to verify benefits, identify benefit maximums, and coordination of benefits
Identify any need for documentation to obtain treatment precertification and notify provider immediately
Prior Authorization Specialists Requirements:
1-2 years of prior authorization experience
An ideal candidate would have 1-2 years of prior authorization experience within the last 7 years
Understanding of insurance requirements for prior authorization
Knowledge of registration, verification, pre-certification, and scheduling procedures
Understanding of payer processes to submit appropriate clinical documentation
Strong proficiency computer navigation skills, with basic Microsoft Office/Outlook skills
If you are qualified and interested in the Prior Authorization Specialist role, please apply today!
Thank you,
Laura Peterson
Associate Unit Manager, Healthcare Revenue Cycle
LaSalle Network
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