Authorization Specialist

TRC is currently partnering with a client in the healthcare industry that is looking for an Authorization Specialist. This is a fully remote position that will require the use of a personal computer / laptop. The work schedule is Monday through Friday from 9-5pm. This is a contract to possible perm position.

RESPONSIBLE FOR :

Contacts insurance companies and other third-party payers to determine pre-certification, pre-authorization and / or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR).

Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information.

Notify payers of admittance if required.

Qualifications

MINIMUM EDUCATION REQUIRED :

High school diploma or GED

MINIMUM EXPERIENCE REQUIRED :

Three (3) yrs exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle.

MINIMUM LICENSURE / CERTIFICATION REQUIRED BY LAW :

None

ADDITIONAL QUALIFICATIONS :

Four (4) years of previous related healthcare Revenue Cycle experience preferred.

A bachelor's degree from a recognized college or university preferred.

Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred.

Prior Epic experience preferred.

TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.