Prior Authorization Specialist

4 weeks ago


Sheboygan, United States PREVEA HEALTH Full time

_**This position is part-time and will work 32-hrs per week.**_

**Specialized Responsibilities**:_(This list may not include all of the duties assigned)_
- Works closely with department physicians and staff, coding and billing staff, to ensure understanding of information needed to obtain proper authorization for payment.
- Communicates with patients prior to specialty consultation or surgical procedure to provide them with information regarding their coverage.
- Identifies what is required for Preauthorization of surgical procedures and completes the process to minimize denial of claims.
- Preauthorization documentation.
- Communicate with hospitals and patient on progress/approval of Preauthorization

**Education/Experience**:

- High school diploma or GED.
- One year of experience in a medical or insurance role preferred.
- Knowledge of insurance and medical terminology.
- Knowledge of CPT/ICD-9 coding useful.

Pay: From $17.20 per hour

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Paid time off

Weekly day range:

- Monday to Friday

Work Location: In person



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