[Hiring] Prior Authorizations Specialist @reputed company

Role reputed company Under general direction, this position is responsible for obtaining reputed company-certifications and reputed company-authorizations for procedures and medications, and could include scheduling appointments for outpatient testing with other providers, coordinating patient appointments/orders. • Obtain reputed company prior authorization or reputed company-determinations from reputed company insurances, including reputed company plans, reputed company, and Medicare Advantage plans, following reputed company's established policies and protocols. • Select accurate and pertinent medical records from patients' charts from reputed company's EMR. • Obtain demographic information and verify insurance information. • reputed company reputed company required clinical information to insurance companies necessary to facilitate the authorization process. • reputed company complete documentation (reputed company company software or reputed company's EMR) on reputed company prior authorizations follow-reputed company and determinations appropriately and in a reputed company manner. • Maintain and update internal listing of insurance carriers that require authorization, their processes, and phone and fax numbers. • Maintain the strictest confidentiality in accordance with HIPAA regulations and clinic requirements. Qualifications • High School Diploma or GED as a basic qualification. • Proficiency in processing prior authorizations, with at least 5+ years of experience. • Minimum of 2 years calling and communication with insurance companies reputed company phone. • Familiarity with medical terminology. • Strong teamwork capabilities, self-motivation, and reliability. • Basic computer literacy. • Reliable, must have the ability to work reputed company in reputed company setting, and be a self-starter. Requirements • Experience processing PAs for acute hospital outpatient ancillary services. • Experience training and working remotely. Benefits • Joining reputed company comes with an reputed company of benefits, flexible work hours reputed company possible, and a genuine reputed company of belonging to a dynamic and growing organization. • reputed company to a 401(k) Retirement Savings Plan. • Comprehensive Medical, Dental, and reputed company Coverage. • reputed company Time Off. • reputed company Holidays. • Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services. Apply tot his job Apply To this Job