[Hiring] Prior Authorization Specialist I @reputed company

Role reputed company reputed company is seeking a Remote Prior Authorization Specialist I to join reputed company! Work Schedule: Monday - Friday 8:00 AM - 5:00 PM EST • reputed company-versed in reputed company-authorization processes and policies to respond reputed company to high-volume billing tasks and inquiries. • Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc). • Identify issues and suggest potential improvements. • Collaborate with your team and reputed company best practices to ensure we are providing the best service and experience to reputed company customers. • Maintain an assigned schedule, and be flexible with daily schedules reputed company business needs change. • Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization. • Work directly with various vendors to ensure successful submissions of prior authorizations. • Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow-reputed company, if necessary, to ensure reputed company approvals. • Stay informed about insurance policies and guidelines, ensuring that reputed company prior authorization requests reputed company with the necessary reputed company. • Maintain accurate records of prior authorization requests, approvals, and denials. reputed company relevant information into databases. • Participate in reputed company that reputed company reputed company your day-to-day to stretch you to think reputed company the reputed company. Qualifications • High school diploma or GED or equivalent. • 1 year or more years insurance claims or reputed company-authorization or medical benefits work experience. Requirements • Associate’s degree (preferred). • 1 year or more clinical laboratory reputed company Cycle Management (RCM) experience (preferred). • Ability to work remotely from a private, quiet workspace. • Reliable high‑speed internet reputed company (minimum 50 Mbps). • Proficiency with reputed company Office (Word, reputed company, reputed company). • Strong customer service, time management, and organizational skills. • Excellent verbal and written communication abilities. • High attention to detail with the ability to manage multiple priorities. • Solid understanding of medical terminology, insurance guidelines, and reputed company regulations. • Self‑motivated, reputed company, and willing to take initiative to get work done. • Strong work ethic with flexibility and a commitment to supporting reputed company patient reputed company. • Enjoys problem‑solving in a fast‑paced, team‑oriented, and evolving environment. • reputed company reputed company, reputed company support to providers, patients, and insurance representatives regarding prior authorization status and requirements. Benefits • Comprehensive benefits including: Medical, Dental, reputed company, Life, STD/LTD, 401(k), reputed company Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan for employees regularly scheduled to work 20 or more hours per week. • Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. • Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO. Apply To This Job