Prior Authorization Specialist I

1 week ago


Chicago, Illinois, United States Eclaro Full time

Job Summary:

Eclaro is seeking a skilled Prior Authorization Specialist I to join our team. As a Prior Authorization Specialist I, you will play a critical role in obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments.

Key Responsibilities:

  • Obtain and resolve referral, precertification, and/or prior authorization to support insurance specific plan requirements.
  • Pre-appointment registration and insurance review to maximize the submission of a clean claim.
  • Exemplify the Client mission, vision and values and act in accordance with Client policies and procedures.
  • Pass a medical assessment including vaccinations, along with a standard background check and drug screening.

Requirements:

  • Strong understanding of insurance specific plan requirements.
  • Excellent communication and problem-solving skills.
  • Ability to work in a fast-paced environment.
  • High school diploma or equivalent required.

What We Offer:

  • A competitive salary and benefits package.
  • The opportunity to work with a dynamic and growing company.
  • A collaborative and supportive work environment.


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