Prior Authorization Specialist

Prior Authorization Specialist

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC).

MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work!

MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.

In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success!

Join Our Team!

We are excited to announce that we are hiring for a full-time hybrid position . Work in our office location on Tuesdays, Wednesdays, and Thursdays , and enjoy the flexibility of remote work on other days. Benefits included!

Apply today to become a part of our dynamic team!

Competitive Pay

Advancement Opportunities

Medical, Dental & Vision Insurance

HSA Account w / Company Contribution

Pet Insurance

Company provided Life and AD&D insurance

Short-Term and Long-Term Disability

Tuition Reimbursement Program

Employee Assistance Program (EAP)

Employee Referral Bonus Program

Social Recognition Program

Employee Engagement Opportunities

CALM App

401k (with a matching program) / Roth IRA

Company Discounts

Payactiv / On-Demand Pay

Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays

Responsibilities and Duties :

• Support intake staff by assisting with insurance verification.
• Initiates authorization requests with insurance companies and government payers and obtains the necessary documentation.
• Communicate and report to case management any insurance related issues for order fulfillment.
• Monitors outstanding authorization requests and initiates follow up of authorizations in a timely manner.
• Assists with insurance changes when prior authorizations are needed.
• Manages phone calls related to prior authorizations.
• Other duties as assigned.

Qualifications :

Education : Graduate of an accredited high school or GED equivalence.

Experience / Knowledge / Skills / Physical Requirements

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