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Prior Authorization Representative

Posted: November 30, 2024
Salary:US$21 - US$25 per hour
Location:New York
Job type: Contract
Discipline:Revenue Cycle
Reference:234957_1733025908
Work Location:Hybrid

Job description

Medix's NYC-based client is looking for Prior Authorization Representative! Apply if qualified and interested!

  • One week of ONSITE traning in Manhattan, remote afterwards!
  • Only candidates within the NYC-metropolitan area will be considered

Title: Prior Authorization Representative
Duration: Contract to hire - 800 hrs (5-6 months) before converting to full time employee status
Location: REMOTE
Pay: $21 - 25
Schedule: Hours may range from 9 AM to 8 PM EST (Although the team does not normally work unitl 8 PM); 40 hours guaranteed
- Candidates must be flexible
Overview
  • 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

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

Metrics

  • 60 authorizations per day
Selling Points
  • Growing company
  • Remote work AFTER onsite training
  • Looking for people who will be a good long-term fit for their culture.
Dress Code
  • Business Casual

How do you apply? Click "Apply" OR or email your resume!

Medix is acting as an Employment Business in relation to this vacancy.