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Prior Authorization Representative
- Posted: February 04, 2025
- Salary:US$21 - US$25 per hour
- Location:New York
- Job type: Contract
- Discipline:Revenue Cycle
- Reference:234957_1738681668
- 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!
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.