Prior Authorization Specialist

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

Schaumburg, United States The LaSalle Group Full time
Job Description

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

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