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Healthcare Prior-Authorization Specialist

3 months ago

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

259 business days. Training onsite for 2-3 weeks - working remotely after that.

· Support providers and UM reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into the clients 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.

Required:

· 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