Description
As an Prior Authorization Specialist, you will be responsible for :
- Determining insurance eligibility, authorization and benefit verification
- Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence
- Answer telephone and written inquires
- Maintain filing systems
- Interface with medical staff and administrative personnel
Salary Range : $30.47- $47.85 / hourly
Qualifications
We're seeking a self-directed professional with :
Working knowledge in the insurance verification process and third party verification terminologyAbility to scrutinize insurance data independently and evaluate information for clarity, accuracy, and completenessKnowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-upKnowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out of state Medicaid, or other sponsoring agenciesKnowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time-urgent conditionsProficient in basic mathProficient in Microsoft Office Suite, specifically Excel, Word, and OutlookAvailability to work rotating weekends and holiday coverageNote : May subject to test qualifying skills