Administrative Assistant II
6 days ago
Adecco US, Inc. is seeking a highly skilled Pre-Authorization Specialist II to join our team. As a key member of our Pre-Authorization Support Department, you will be responsible for performing proficient benefit verification and pre-authorization functions with insurance carriers, within an established time frame, for new pre-surgical cases.
Responsibilities:- Coordinate the initial intake of physician and facility requests to secure prior authorization for service
- Create electronic folders for new patients
- Organize patient medical records in preparation for prior authorization and appeals process
- Answer incoming calls and provide appropriate call/case handling
- Perform benefit verification, pre-surgical authorization for new pre-surgical cases, and appeals
- Utilize proficient knowledge in Microsoft Office and database management to document case status, actions, and outcome
- Communicate and build relationships with HCP offices and Field Reimbursement Managers
- Utilize customer service skills to engage with customers and work in teams
- Coordinate with lead and supervisor regarding complicated cases
- Build Quality into all aspects of work by maintaining compliance to all quality requirements
- High School Diploma
- Minimum 2-3 years of recent Insurance Pre-Authorization experience
- Experience working with various payors, including Medicare, Medicaid, and Private Payor
- Experience building effective relationships with internal and external customers
- High speed internet and office home setting required
- Experience working remotely is preferred
- Ability to troubleshoot technical issues remotely
- Patience and professionalism
$24.00 to $26.00 per hour
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan
Equal Opportunity Employer/Veterans/Disabled
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Administrative Assistant II
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Administrative Assistant II
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Administrative Assistant II
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Administrative Assistant II
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