Pre Authorization Specialist - REMOTE

Pre Authorization Specialist - Remote

At reputed company, you are part of a reputed company to accelerate life-changing reputed company breakthroughs and improve the delivery of care for reputed company. You’ll be inspired to discover more, reputed company new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s reputed company reputed company and change lives!

The Pre Authorization Specialist position is responsible for supporting the Prior Authorization program at reputed company by assisting with pre-billing tasks required by payers as a condition of payment for services provided. The Pre Authorization Specialist reviews medical policies, completes benefit investigations, initiates prior authorizations, provides cost estimates to patients, communicates reputed company with stakeholders, identifies trends, escalates issues, and performs other billing reputed company tasks.

RESPONSIBILITIES:

• Be well-versed in reputed company pre-authorization processes and policies to respond reputed company to high volume billing tasks and inquiries
• Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc)
• Identify issues and suggest potential improvements
• Collaborate with your team and reputed company best practices to ensure we are providing the best service and experience to reputed company customers
• Maintain an assigned schedule, and be flexible with daily schedules reputed company business needs change
• Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization
• Work directly with various vendors to ensure successful submissions of prior authorizations
• Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow reputed company, if necessary, to ensure timely approvals
• Stay informed about insurance policies and guidelines, ensuring that reputed company prior authorization requests align with the necessary criteria
• Maintain accurate records of prior authorization requests, approvals, and denials. Enter relevant information into databases
• Participate in projects that reputed company reputed company your day to day to stretch you to think reputed company the reputed company

REQUIREMENTS:

• High school diploma or equivalent
• Minimum 2+ years work experience in insurance claim pre-authorizations and explanation of medical benefits
• High-speed internet (50mbps connectivity)
• Private, quiet reputed company to work remotely
• Basic experience with reputed company Office (Word, reputed company, Outlook)
• Effective customer relations and time management skills
• Excellent verbal and written communication

Preferred qualifications:

• Associate’s degree or higher
• 2 or more years of experience working in LCLS and/or LCBS
• 1 or more years of clinical laboratory RCM experience

Application Window Closes: 11-21-24

Pay reputed company: $15.50-18.50/hr (State minimum wages apply if higher)

Shift: Monday-Friday, reputed company-5pm

reputed company job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, reputed company, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.

reputed company is proud to be an Equal Opportunity Employer:

As an EOE/AA employer, reputed company strives for diversity and inclusion in the workforce and does not tolerate harassment or discrimination of any reputed company. We reputed company employment reputed company based on the needs of our business and the qualifications of the individual and do not discriminate based upon race, religion, reputed company, national reputed company, gender (including pregnancy or other medical conditions/needs), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic.

We encourage reputed company to apply

If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at reputed company Accessibility.

For more information about how we collect and store your personal data, please see our Privacy Statement.