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
The Buyer is responsible for planning, organizing, and facilitating the procurement of capital budget equipment and projects, medical/surgical & general supplies, service contracts, and non-stock purchases for their assigned departments. Included in the responsibilities...
...We have a need for a Project Engineer in New York, NY. Come join our team! We are looking to build services and capabilities through the growth of our key asset- our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides...
...this time. QUALIFICATIONS AND EXPERIENCE: BLETP certified Law Enforcement Officer or eligible for a waiver from the Maine Criminal Justice Academy (MCJA); Associates Degree or higher preferred; Correctional Officer experience is beneficial; Obtain and...
...empowers employees to deliver exceptional patient experiences. We are currently looking for talented candidates for the role of Medical Assistant. A Medical Assistant is responsible for administrative as well as clinical tasks, such as maintaining patient records,...
...ahead and complete the program in fewer weeks. The role focuses on heightening awareness of our work and includes: Creating a branding campaign. Conducting an informal focus group and gathering feedback for market research. Pitching story ideas to print,...