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Prior Authorization Specialist

4 months ago

Fall River, United States Complete Staffing Solutions, Inc. Full time
Job DescriptionJob Description

Rehab facility is looking for a full time Prior Authorization Specialist

Hours:

Monday - Friday 8:30 AM-5 PM

Temp to Hire

Responsibilities:

  • Perform wide variety of duties to secure optimal; revenue for all services
  • Determine patient liability prior to service by creating estimate based on individual payer, notifies patient of their potential liability
  • Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests
  • Navigate multiple payer portals to determine requirements for authorization and submit electronic requests
  • Verify coverage and initiate authorizations for new evaluations and treatments

Qualifications:

  • MUST have Prior Authorization / insurance experience in healthcare setting.
  • An understanding of billing and codes strongly preferred
  • Equal to completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
  • Duties require knowledge of medical terminology.