Remote Jobs
Pre-Authorization Specialist II
This job is now closed
Job Description
- Req#: 616811
Employer Industry: Medical Devices
Why consider this job opportunity:
- Salary up to $67,392
- Opportunity for career advancement and growth within the organization
- Work remotely, providing flexibility in your work environment
- Access to the latest tools, information, and training to enhance your skills
- Supportive and collaborative work culture focused on continuous improvement
- Chance to make a meaningful impact in the healthcare industry
What to Expect (Job Responsibilities):
- Verify medical insurance benefits and coverage and process payer forms
- Submit prior authorization requests and appeals to health plans
- Follow up on authorization and appeal requests to ensure proper review
- Provide superior customer service through the PASP call center
- Maintain PASP metrics and standards while ensuring HIPAA compliance
What is Required (Qualifications):
- High school diploma
- Minimum 2 years of relevant experience with various payers, including Medicare and Medicaid
- Proficient in Microsoft Office
- Excellent written and verbal communication skills
- Ability to work independently with minimal supervision
How to Stand Out (Preferred Qualifications):
- Associate's degree
- Experience in medical devices and/or bariatric procedures
- Familiarity with software systems like Salesforce and EMR
- Experience drafting appeals for medical necessity denials
#MedicalDevices #HealthcareCareers #RemoteWork #CareerGrowth #PatientAccessSupport
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
The best remote jobs for you
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.