Prior Authorization Specialist

1 month ago

Appleton, United States Kelly Full time
                                             Position details
 
  • Collaborate with healthcare providers to gather and submit all necessary information for prior authorization requests.
  • Verify insurance coverage and eligibility for medical procedures and services, ensuring every patient gets the care they need.
  • Prepare and submit prior authorization requests according to insurance guidelines, streamlining the approval process.
  • Communicate with insurance companies to track and expedite authorization status, resolving any issues efficiently.
  • Maintain accurate records of all authorization requests, ensuring compliance and smooth operations.
  • Stay informed on the latest insurance regulations, managed care policies, and HIPAA guidelines to keep our practice at the top of its game.
What We’re Looking For:
  • Proven experience in a medical office setting, especially in roles involving prior authorizations.
  • Familiarity with medical terminology, coding (ICD-10), and medical records.
  • A strong understanding of managed care processes and insurance verification procedures.
  • Meticulous attention to detail and accuracy in documentation.
  • The ability to thrive in a fast-paced environment while meeting deadlines.
  • Excellent communication skills for interacting with healthcare providers, insurance companies, and patients.
Make a Difference:
If you're dedicated to ensuring patients receive timely access to care and want to be part of a team that values your expertise, we invite you to apply for the Prior Authorization Specialist
 
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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