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Prior Authorization Representative
- Posted: September 16, 2024
- Salary:US$21 - US$24 per hour
- Location:New York
- Job type: Contract
- Discipline:Revenue Cycle
- Reference:230485_1726494267
- Work Location:On-site
Job description
Prior Authorization Specialist - TEMP CONTRACT (indefinite)
- Contact insurance companies to verify patient benefits and coverage details
- Manage submission of prior authorization requests for prescription medications via ePA, fax, and phone
- Review clinical information and ensure all required documentation is included with submissions
- Document and escalate any issues related to prior authorization requests (e.g., need for additional information or documentation from providers)
- Serve as a liaison between patients, healthcare providers, and insurance companies
Metrics/Volume: 60 authorizations per day.
Insurances: Commercial, Medicaid and Medicare.
Must Have Skills/Qualifications:
- 1+ years of experience working in healthcare operations, particularly in benefits verification, prior authorization, medical billing or coding
- Understanding of medical terminology and insurance process
- Attention to detail and strong organizational skills
- Excellent communication skills and adept at using web-based tools/systems
- Ability to work in person in Soho, NYC
Schedule/Shift: M-F open from 9a-8p.. You can choose your shift; 9-5, 10-6, etc.
***Indefinite contact role: no end date but not temp to perm right now.***