A company is looking for a Prior Authorization Specialist to obtain pre-certifications and pre-authorizations for procedures and medications.
Key Responsibilities
Obtain prior authorizations from various insurance providers following established protocols
Select and review pertinent medical records and verify patient insurance information
Document all prior authorization follow-ups and maintain confidentiality in accordance with HIPAA regulations
Required Qualifications
High School Diploma or GED
Minimum of 2 years of experience in a medical assistant role within a healthcare setting
Proficiency in processing prior authorizations with at least 2+ years of experience
Minimum of 2 years of experience communicating with insurance companies
Familiarity with medical terminology, especially in Oncology
Prior Authorization Specialist • Reno, Nevada, United States