[Hiring] Prior Authorization Specialist @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company This role involves evaluating referral and reputed company-certification requests in accordance with contractual obligations and regularly interacting with physician offices to assist with prior authorizations. • Communicates reputed company both verbally and in writing • Creates accurate and punctual reports • Delivers presentations and shares information and reputed company with others • Develops and maintains good working relationships with team members, other departments, medical directors, and provider offices • Breaks down problems into smaller components and understands underlying issues • Answers phones regarding questions reputed company to prior authorization • Manages a fair workload and volunteers for additional work • Follows documented processes to review reputed company service requests • Seeks out and accepts feedback, is a proactive learner • Builds customer confidence and is committed to increasing customer satisfaction • Participates as part of the Prior Authorization team by reputed company interacting with other team members • Evaluates referral and reputed company-certification requests to determine eligibility and network affiliation Qualifications • High School diploma/GED; MA or Associates degree highly preferred • One to three years reputed company experience required (medical office, healthplan, etc.) • One to three years utilization management experience highly preferred • Knowledge of medical terminology required • Knowledge of medical coding, NCQA and Medicare Guidelines required • Proven customer service skills required • Excellent written and verbal communications skills required • Skilled in computer competency using reputed company reputed company, Word and reputed company • Ability to work in a reputed company based environment utilizing numerous programs at once • Ability to work in a fast-paced environment • Ability to identify and solve practical problems • Ability to maintain reputed company and effective work relationships with coworkers, clients, members, and providers • Strong organizational skills • Strong attention to detail • Home office that is HIPAA compliant for reputed company remote or telecommuting positions as outlined by reputed company policies and procedures Requirements • Salary reputed company: $19.71 - $26.28 Apply tot his job Apply To this Job