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Healthcare Prior Authorizations Specialist -REMOTE
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Job Description
- Req#: 1652580
Employer Industry: Revenue Cycle Management
Why consider this job opportunity:
- Opportunity to work 100% remotely from anywhere in the United States
- Competitive salary with potential for bonuses
- Supportive work environment with a focus on team collaboration
- Opportunity for career advancement within a rapidly growing organization
- Engage in meaningful work that directly impacts patient care and services
- Flexibility to manage work-life balance while meeting job expectations
What to Expect (Job Responsibilities):
- Obtain prior authorizations for facility services based on assigned specialty or clinic area
- Communicate with patients regarding financial obligations and authorization status
- Process referrals and submit medical records to insurance carriers to expedite authorizations
- Monitor incoming referral work queues to verify insurance eligibility and requirements
- Review and follow up on authorization denials to obtain necessary information for appeals
What is Required (Qualifications):
- High School diploma or equivalent
- Minimum of 1 year of experience in healthcare or medical billing, with a focus on prior authorization
- Ability to maintain compliance with regulations and laws applicable to the job
- Proficiency in Microsoft Office products such as Excel, Word, and PowerPoint
- Strong communication skills and ability to work independently and within a team
How to Stand Out (Preferred Qualifications):
- PACS (Prior Authorization Certified Specialist) Certification
- Knowledge of insurance processes and medical terminology
- Experience in maintaining patient confidentiality and customer service standards
- Ability to prioritize work effectively to meet deadlines
- Familiarity with electronic health records (EHR) systems
#RevenueCycleManagement #HealthcareCareers #RemoteWork #CareerGrowth #PatientCare
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