Remote Jobs
Reimbursement Specialist, Prior Authorization
5 days agoWhat's your preference?
Job Description
- Req#: 744000064583590
Employer Industry: Precision Oncology
Why consider this job opportunity:
- Salary range up to $28.24 per hour
- Hybrid work model offering flexibility for better work-life balance
- Opportunity for career advancement within a leading healthcare organization
- Collaborative work environment focused on improving cancer care
- Commitment to providing reasonable accommodations for candidates with disabilities
What to Expect (Job Responsibilities):
- Act as the primary contact for insurance companies to obtain preauthorizations for patient services
- Collaborate with billing, finance, and client services teams to ensure timely payment processing
- Maintain a comprehensive database of payer authorization requirements
- Track, report, and resolve complex claims while ensuring prompt follow-up
- Drive positive coverage decisions via appeals and external review organizations
What is Required (Qualifications):
- 0-2 years of experience in the healthcare industry
- Strong understanding of health plan regulations and billing processes
- Excellent organizational skills with high attention to detail
- Self-motivated with the ability to work independently in a fast-paced environment
- Proficiency in Excel (sorting, filtering, basic calculations)
How to Stand Out (Preferred Qualifications):
- Experience with insurance and payer relations
- Familiarity with a diverse range of payers and prior authorization processes
- Proven ability to coordinate with insurance providers, physicians, and patients
- Knowledge of laboratory billing, Xifin, EDI enrollment, and merchant solutions
- Experience with appeals at state and external review organizations (IROs/IRBs)
#PrecisionOncology #HealthcareCareers #HybridWork #CareerGrowth #InsuranceRelations
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.