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Healthcare Insurance Authorization Expert

2 months ago

Phoenix, Arizona, United States GTN Technical Staffing and Consulting Full time

Insurance Authorization Specialist - HEALTHCARE

POSITION OVERVIEW

Role Type: Contract position with potential for extension

Compensation: Competitive hourly rate based on qualifications

Eligibility: US Citizens or Green Card Holders only

GTN Technical Staffing and Consulting is seeking an experienced Insurance Authorization Specialist with a minimum of two years in the field.

A thorough background check and drug screening will be conducted.

Key Responsibilities

  • Gather, confirm, and relay essential information to clients' insurance providers to secure diagnostic and behavioral health benefits as well as prior authorization details.
  • Assess member plan eligibility and verify behavioral health benefits.
  • Prepare an Explanation of Benefits (EOB) documentation.
  • Ensure service payments by validating benefits with insurance entities.
  • Collaborate with insurance companies to confirm that any modifications to authorization requests or referral documentation are properly submitted.
  • Standard working hours are from 8 AM to 5 PM, within a team of 4 to 5 professionals.

Qualifications

Applicants should possess at least two years of experience in insurance authorization within a healthcare context. Experience in Behavioral or Mental Health settings is preferred, with additional consideration for candidates familiar with Applied Behavior Analysis (ABA) environments. Exceptional customer service skills are essential.

About Us

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