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Acute Care Prior Authorization Specialist

3 months ago


Detroit, United States G-TECH Services Full time
Job DescriptionJob Description

Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning. May support scheduling physician to physician calls. Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities. High School Graduate or GED equivalent required. Two (2) years of college preferred. Two (2) years experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field preferred. Knowledge post-acute care functions and processes or discharge readiness activities may be preferred for some positions.

Company DescriptionG-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals We are large enough to make a difference and small enough to genuinely care about each and every one of our employees
We work with the best of the best Join us todayCompany DescriptionG-TECH Services, Inc. is a leading certified recruitment and placement firm that provides high-quality, flexible staffing solutions to a nationwide client base. We pride ourselves in keeping employee attrition low and offering exciting career opportunities to Engineers and IT professionals We are large enough to make a difference and small enough to genuinely care about each and every one of our employees\r
We work with the best of the best Join us today