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Prior Authorization Specialist

1 month ago


Dallas, United States CornerStone Staffing Full time

We are seeking a dedicated and detail-oriented Medical Prior Authorization Specialist to join our healthcare team. The ideal candidate will oversee and coordinate all aspects of infusion therapy for patients, ensuring a smooth and effective treatment process. This role requires strong organizational skills, excellent communication, and a deep understanding of infusion procedures and patient care. - contact us now if qualified and interested

Job Title: Prior Authorization Specialist

Location: Addison, TX

Pay: $21.00-$25.00

Schedule: Mon - Fri, Flexibility for shifts between 8am-8pm (Shifts)

Training: Mon-Fri, 9am-5:30pm (2/3 weeks)

Job Description:

  • Obtain infusion Therapy referrals from referral sources

  • Enter member demographic, insurance and authorization information into the computer system

  • Maintain precise and up to date patient records, including treatment plans, progress notes and adverse reactions

  • Submit alternate funding billing and override information to the dispensing specialty pharmacy

  • Provide education and support to patients and their families regarding infusion procedures, potential side effects, and post-treatment care.

 Requirements:

  • Minimum two (2) years of experience collecting referral information in an Infusion Center, Medical Providers Office and/or Specialty Pharmacy, preferably working directly with infusion therapies.

  • Experience working with all payer types, including Medicare, Medicaid and commercial insurance companies.

  • Knowledge of insurance verification and pre-certification procedures

Application Process Includes:

  • Drug testing

  • Background check

  • Clerical testing

For immediate consideration, please email your resume to addison.resume@cornerstonestaffing.com and write "Medical Prior Authorization Specialist"on the subject line.

To Apply for this Job:

Click the Apply Online button at the top of this page, or below this job description, then:

  1. If you are currently registered with CornerStone Staffing, click the I have a username and password and want to log in button to add yourself as a candidate to this job.

  2. If your are NOT currently registered with CornerStone Staffing, click the I need to register button to complete the application and select the Addison branch.

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