Prior Authorization Specialist
3 weeks ago
Title: Prior Authorization Specialist
Location: Detroit, MI (100% REMOTE, training for 4-6 weeks onsite)
Duration: Long term duration
· Support health care payer providers and UM reviewers with prior authorization requests for post-acute care services.
· Includes manually entering authorization requests into client's 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.
Certification
· Certified Medical Assistant / Certified Medical Coder / Certified Medical Reimbursement Specialist – Any certification is nice to have.
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Prior Authorization Specialist
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Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for Prior Authorization Specialists for a contract opportunity with one of our largest clients located in Detroit, MI! Title: Prior Authorization Specialists – multiple openings Location: Detroit, MI Duration: 12+ Months Role Type: W2 contract...
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Detroit, United States Strategic Staffing Solutions Full timeSTRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!Strategic Staffing Solutions is currently looking for Prior Authorization Specialists for a contract opportunity with one of our largest clients located in Detroit, MI! Title: Prior Authorization Specialists – multiple openingsLocation: Detroit, MI (2 weeks onsite training then 100% remote)Duration: 12+...
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