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Prior Authorization Specialist
3 weeks ago
Temp to hire
Hours: Part Time - 24 HPW
- Flexible schedule - 3, 8 hour days (Office is open 8-5)
Job Description:
- Request, track, and obtain prior auths from insurance carriers/third party auth companies within a reasonable timeframe
- Contact insurance carriers to verify patient's insurance benefits and requirements specific to the requested procedures
- Follow up with insurance carriers/third party auth companies prior to servies being performed to secure authorization
- Work closely with referring physicians to obtain necessary data needed to submit for prior auth
- Daily completion of Mass Health insurance checks and verification of eligibility with insurance department for any commercial insurance coverage changes.
- Answers the phone, provides information and directs calls to the appropriate areas.
- Assists in department-wide initiatives for improved medication prescribing, such as preferred medications, medication recalls or alerts, medication formulation changes.
- Performs all job functions in compliance with applicable federal, state, hospital policies and procedures.
- Handles confidential information in compliance with HIPAA guidelines.
Qualifications:
- High school diploma or equivalent required. College preferred.
- Proficient in Office 365 and Medical EMR programs; LYTEC a plus
- Previous Medical Receptionist experience including Mass Health Insurance verification.
- Successful completion of a Medical Assistant training program preferred
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Prior Authorization Specialist
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Lynn, United States Complete Staffing Solutions Full timeJob DescriptionJob DescriptionPrior Authorization Specialist Type: temp to hire Hours: Part Time - 24 HPWFlexible schedule - 3, 8 hour days (Office is open 8-5)Responsibilities:Request, track, and obtain prior auths from insurance carriers/third party auth companies within a reasonable timeframeContact insurance carriers to verify patient's...
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Prior Authorization Specialist
4 weeks ago
Lynn, United States Complete Staffing Solutions Full timeJob DescriptionJob DescriptionTemp to hire Hours: Part Time - 24 HPWFlexible schedule - 3, 8 hour days (Office is open 8-5)Job Description:Request, track, and obtain prior auths from insurance carriers/third party auth companies within a reasonable timeframeContact insurance carriers to verify patient's insurance benefits and requirements specific to...
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