Administrative Assistant II

6 days ago


Marlborough, Massachusetts, United States Adecco US, Inc. Full time
Job Title: Pre-Authorization Specialist II

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
Quality Systems Duties and Responsibilities:
  • Build Quality into all aspects of work by maintaining compliance to all quality requirements
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
Pay Details:

$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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