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Prior Authorization Specialist

2 months ago

Charlottesville, Virginia, United States Insight Global Full time
Job Description

We are seeking a skilled Prior Authorization Specialist to join our team at Insight Global. As a key member of our team, you will be responsible for obtaining pre-certification for all inpatient admissions and pre-authorization for all outpatient diagnostic tests.

This role requires strong analytical and communication skills, as well as the ability to work independently in a fast-paced medical setting. You will be responsible for analyzing information required to complete pre-certifications and/or authorizations with insurance carriers, service area contacts, and workman's compensation carriers.

Key Responsibilities:

  • Analyze information required to complete pre-certifications and/or authorizations
  • Communicate effectively with insurance carriers, service area contacts, and workman's compensation carriers
  • Enter pre-certification/pre-authorization information into required computer systems in an accurate and timely manner
  • Adhere to policies and procedures

Requirements:

  • High school diploma or equivalent
  • 2 years of prior authorization experience
  • Epic experience
  • Reliable computer and high-speed internet

Preferred Qualifications:

  • Experience with CPT codes

We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.