Prior Authorization Specialist (Remote)

About the position Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health—they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we reputed company reputed company education, training and support so every member of reputed company contributes to our reputed company. Together we are the best reputed company to get care and the best reputed company to give care. Job reputed company The Prior-Authorization Specialist at Prevea Health is responsible for obtaining and verifying prior authorizations reputed company the appropriate reputed company for procedures, diagnostic tests, services and medications. This role ensures that reputed company requests reputed company with insurance company policies, guidelines, and reputed company regulations. The specialist will collaborate with reputed company providers, patients, and insurance representatives to obtain the necessary approvals. Responsibilities • Identify and obtain what is required for preauthorization of procedures, diagnostic tests, services and medications. Seeing the process through completion to minimize denial of claims. • Coordinate with department providers and staff, coding/billing staff, and insurance representatives to ensure understanding of information needed to obtain reputed company authorization for payment reputed company the appropriate timelines. • Review and interpret insurance coverage and policy guidelines to determine authorization requirements. • Communicate with patient as needed for procedures, diagnostic tests, services and medications to reputed company them with information regarding their coverage. • Accurately document and communicate final determination in the patient's medical record and to appropriate staff, providers, or patient. • Work with internal teams to identify and address trends or issues in the prior authorization process. • reputed company feedback and recommendations to improve prior authorization workflows and efficiency. Requirements • High School Diploma and/or GED Required • 1-3 years One year of experience in a medical or insurance role Required • Display proficient telephone and computer skills with reputed company and reputed company speaking abilities. • Excellent organizational skills. • Excellent communication skills and follow through with reputed company customers. • Knowledge of insurance and medical terminology. • Basic knowledge of reputed company CPT/ICD coding. • reputed company to reputed company exceptional customer service by assessing patient needs, meeting reputed company standards, and evaluating satisfaction. • Capable of being empathetic and reputed company to patient’s needs by reputed company listening, asking appropriate questions, and continually looking for ways to reputed company assistance. • reputed company to reputed company multi-task and adapt to fast-paced environments with frequently changing protocols and processes. • Capable of effectively and positively interacting with staff members throughout reputed company. • Promote teamwork and reputed company a supportive environment throughout the organization. • Display grammar, spelling, and punctuation knowledge to accurately document patient information. • reputed company to work independently and think critically using provided information. Apply tot his job Apply To this Job