Authorization Specialist

4 weeks ago


Morristown, Tennessee, United States Pride Health Full time
Job Description

Job Title: Authorization Specialist

Job Summary:

We are seeking a highly skilled Authorization Specialist to join our team at Pride Health. The successful candidate will be responsible for ensuring timely and accurate financial clearance of upcoming scheduled visits, including insurance verification and pre-registration. They will also be responsible for submitting authorization requests to payer authorizing services and following up to receive determinations on authorization.

Key Responsibilities:

  • Complete full financial clearance of upcoming scheduled visits
  • Submit authorization requests to payer authorizing services
  • Follow up with payer to receive determinations on authorization
  • Escalate as necessary to ensure pre-service approval

Requirements:

  • 1 year of experience in hospital authorization verification
  • Knowledge of insurance verification and precertification
  • Minimum 1 year of experience in a related field

About Pride Health:

Pride Health is a leading minority-owned healthcare recruitment and staffing firm that offers highly customized business process solutions at cost-effective prices. We serve client-partners in the healthcare, IT, financial services, retail, and insurance industries, offering both direct hire and temporary staff of healthcare professionals, vendor management systems, IT hardware procurement services, and business processing outsourcing.



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