Prior Authorization Specialist
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The Opportunity
Description
We're looking for a Prior Authorization Specialist, working in Healthcare Systems and Services industry in Oak Brook, Illinois, United States.- 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
- Use the insurance verification systems to contact the patient and their partner’s insurance to verify benefits, identify benefit maximums and coordinate benefits
- Identify any need for documentation to obtain treatment precertification and notify provider immediately
Our Client
Our client is a 20+ year-old staffing and recruitment leader. Founded on the belief that hiring, training and developing great people would result in outstanding service to clients and to candidates like you. Recognized on Glassdoor’s list of “Best Companies to Work For” in addition to other honors.
Valuing employees. Helping companies grow. Finding the right roles for job seekers. Achieving goals by helping others achieve theirs.
Serving companies of all sizes and across all industries. Specializing in accounting & finance, technology, supply chain, healthcare revenue cycle, administrative, call center, human resources, and marketing positions. Is this one right for you?
Experience Required for Your Success
- 2-4 years of prior authorization experience
- High School Diploma or GED
- 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
- Medical Terminology Knowledge required
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?
Apply Now
