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Prior Authorization Specialist

1 month ago

King of Prussia, United States PeopleShare Inc Full time
Do you have prior authorization experience? Are you super organized and detail oriented? If so, this is the position for you

PeopleShare is seeking a Prior Authorization Specialist to work for a growing Global Mental Health and Technology Leader in King of Prussia, PA.

Job Details of the Prior Authorization Specialist:
  • Pay Rate: $18-20/hour
  • Hours: Monday-Friday 8AM-5PM
  • Full-Time: Temp to Perm
  • Remote
Selling Points of the Prior Authorization Specialist:
  • Benefits (dental, medical and vision) offered first date of FTE.
  • 401K available after 90 days, matching after 1 year.
  • Remote role
Job Responsibilities of the Prior Authorization Specialist:
  • Verify and understand insurance coverage information and update appropriately.
  • Utilize eligibility systems to verify coverage, such as eligibility and payor platform portals or
  • directly contacting payors.
  • Revise insurance information for required updates on existing patients.
  • Call, fax, or enter via a patient portal information needed for prior authorization.
  • Routinely discuss financial obligations with patients and/or providers
  • Assist with answering billing and benefits related questions..
  • Resolve claim rejections.
  • Denial management and claim follow up including submitting appeals
Job Requirements of the Prior Authorization Specialist:
  • one year of prior authorization or medical billing experience
  • effective communication skills and excellent interpersonal skills
  • Proven multi-tasking and project planning skills
  • Understanding of the difference between Medicare, Medicaid and Commercial insurance plans in relation to billing and reimbursement


PeopleShare is the leading Staffing Agency in the region and has temporary to hire and permanent jobs

in Pennsylvania (PA) - King of Prussia, Center City Philadelphia, West Chester, Norristown, Conshohocken, Horsham, Lansdale, Montgomeryville, Hatboro, Wayne, Malvern, Media, Plymouth Meeting, Exton, Collegeville, Oaks, Phoenixville, Royersford, Pottstown, Media, Chester, and the Main Line. We have openings for receptionist, data entry, customer service, collections agent, claims specialist, call center, administrative assistant, revenue cycle specialist, paralegal, legal admin, legal secretary, accounts payable clerk, accounts receivable clerk, file clerk, claims specialist, program manager, account manager, client account representative, warehouse, assembly, production, forklift, machine operators, maintenance mechanics and office managers.

PeopleShare provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, PeopleShare complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Requirements: Job Type: Permanent Post Date: 08/02/2024