Prior Authorization Specialist

Found in: Lensa US P 2 C2 - 2 weeks ago


Schaumburg, United States CareerBuilder Full time

We are looking for several

Prior Authorization Specialists

because of the amazing growth within its healthcare organization The ideal prior experience would be working with physicians and clinical staff in a medical or clinical setting and a person who thrives in a fast paced, production-oriented work environment is also preferred

Prior Authorization Specialists Responsibilities:
Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization

Extend expired authorizations when treatment has been delayed

Uses the insurance verification systems to contact the patient and their partner's insurance to verify benefits, identify benefit maximums, and coordination of benefits

Identify any need for documentation to obtain treatment precertification and notify provider immediately

Prior Authorization Specialists Requirements:
1-2 years of prior authorization experience

An ideal candidate would have 1-2 years of prior authorization experience within the last 7 years

Understanding of insurance requirements for prior authorization

Knowledge of registration, verification, pre-certification, and scheduling procedures

Understanding of payer processes to submit appropriate clinical documentation

Strong proficiency computer navigation skills, with basic Microsoft Office/Outlook skills

If you are qualified and interested in the

Prior Authorization Specialist

role, please apply today
Thank you,
Laura Peterson
Associate Unit Manager, Healthcare Revenue Cycle
LaSalle Network

LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries.
LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets.

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