- Remote
- Remote
- 2+ years
This remote Prior Authorization Specialist supports the Patient Access Onshore department in various functions, insurance verification and coordinating prior authorization requests for medical services.
Responsibilities
- Contacting payers for eligibility and benefit information to include authorization requirements
- Obtain prior authorizations and pre-certifications
- Submit complete and accurate authorization requests
- Follow up and resolve pending authorization requests
- Maintain documentation of authorization activity
Requirements
- High School Diploma or equivalent
- Nice to have: experience with radiology/imaging and laboratory services
- Nice to have: experience resolving authorization denials and supporting appeals