Authorization Rep

2 weeks ago


San Francisco, United States IDR Healthcare Full time

IDR is seeking a Authorization Repto join one of our top clientsin the healthcare industry REMOTELY working Pacific Standard Time Zone Hours. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today
*NOT OPEN TO C2C*

Position Overview for the Authorization Rep:

  • Authorization and Referral Processing: Obtain referrals and prior authorizations for patients to see specialty providers, ensuring that all necessary documentation is accurate and submitted in a timely manner.
  • Coordination with Health Plans and Providers: Communicate and coordinate with health plans, contracted providers, and case management staff to ensure smooth processing of authorization and referral requests.
  • Administrative Support for Case Management: Provide administrative support to case management staff, assisting with patient authorization inquiries, tracking requests, and following up with providers and insurance companies as needed.
  • Provider Resource on Authorization Process: Act as a resource for providers, offering guidance on the authorization and referral process, ensuring compliance with healthcare regulations, and handling any issues related to authorizations.
Required Skills for the Authorization Rep:
  • Education: High School Diploma or GED.
  • Experience: Minimum of 2 years of relevant experience in medical administration, including experience with referrals and prior authorizations.
  • Medical Knowledge: Strong understanding of medical terminology, including CPT/HCPCS/ICD-9 coding, with the ability to accurately process medical authorizations.
  • Technical and Organizational Skills: Proficiency in Microsoft Office applications, excellent organizational skills, attention to detail, and the ability to maintain professionalism during challenging interactions.
What's in it for you?
  • Competitive compensation package
  • Full Benefits; Medical, Vision, Dental, and more
  • Opportunity to get in with an industry leading organization
  • Close-knit and team-oriented culture

Why IDR?
  • 25+ Years of Proven Industry Experience in 4 major markets
  • Employee Stock Ownership Program
  • Dedicated Engagement Manager who is committed to you and your success
  • Medical, Dental, Vision, and Life Insurance
  • ClearlyRated's Best of Staffing® Client and Talent Award winner 11 years in a row

Compensation Details:$23-25/hour W2. NOT OPEN TO C2C.

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