Prior Authorization Specialist

Company: VirtualVocations
Location: Racine
Posted on: November 7, 2024

Job Description:

A company is looking for a Prior Authorization Specialist to support the Patient Access Onshore department with insurance verification and prior authorization requests for medical services.



Key Responsibilities:

Contact payors for eligibility and benefit information, including authorization requirements
Obtain prior authorizations and pre-certifications, submitting complete and accurate requests
Follow up on pending authorization requests and maintain documentation of authorization activity


Required Qualifications, Training, and Education:

2+ years of experience in healthcare administration or prior authorization processes in radiology
Experience reviewing and processing prior authorization requests for medical procedures and services
Ability to collaborate with healthcare providers and payers to resolve prior authorization issues and appeals
Medical Assistant Certification or 5 years of experience in a provider's office setting processing prior authorizations is preferred but not required

Keywords: VirtualVocations, Carol Stream , Prior Authorization Specialist, Other , Racine, Illinois