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PRIOR AUTHORIZATION SPECIALIST- REMOTE POSITION-FT
7 days agoPay$20.96 - $30.39 / hour
LocationCraig/Colorado
Employment typeFull-Time
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Job Description
- Req#: PRIOR002567
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $30.39 per hour
- Comprehensive benefits package including Medical, Dental, Life, and Retirement plans
- Paid Time Off for work-life balance
- Opportunity to work in a supportive and collaborative environment
- Chance to contribute to patient care and operational efficiency within the organization
What to Expect (Job Responsibilities):
- Obtain prior authorizations and pre-certifications as per payer requirements for physician-ordered procedures
- Verify completeness of physician orders, authorization, and demographic information before submission to the scheduling department
- Maintain communication with providers, clinical staff, and patients regarding authorization status
- Assist the billing department in resolving rejected, incorrectly paid, and denied claims
- Track pending authorizations to ensure timely resolution
What is Required (Qualifications):
- Must be at least 16 years of age (21 for driving positions)
- High School Diploma or equivalent preferred
- Past experience in the prior authorization process
- Knowledge of CPT, HCPCS, and ICD-10 codes
- Ability to pass a background check and drug screen
How to Stand Out (Preferred Qualifications):
- Familiarity with Medical Terminology
- Experience with Microsoft Office applications, including Word, Excel, and PowerPoint
- Detail-oriented with strong multitasking abilities
- Bilingual skills are a plus
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