Prior Authorization Specialist
Job Number: 24-02681
Role Overview:
- Responsible for managing referrals, precertifications, and prior authorizations for various insurance plans.
Key Responsibilities:
- Obtain and resolve prior authorizations to meet insurance requirements.
- Work with various payers, including commercial, government, and other insurance plans.
- Handle authorizations for: Hospital (inpatient and outpatient), Emergency Department (ED), Ancillary services, and Clinic and ambulatory environments.
Additional Duties:
- Assist with pre-appointment registration.
- Review insurance information to ensure clean claims submissions.
Note:
- Because this is a healthcare facility employees will be required to pass a medical assessment including vaccinations, along with a standard background check and drug screening.