Prior Authorization Specialist - Must match requirements

Overview:

As an Insurance Verification/Authorization specialist, he/she would be in charge of directly contacting insurance companies to verify benefits of patients prior to their appointment along with obtaining a summary of reimbursement. They should be able to review demographics and insurance information to confirm accuracy and make changes as needed.

Responsibilities:

• Calls insurances and pharmacies for pre-authorizations and schedules peer-to-peers, as necessary.
• Verify coverage, benefits and eligibility for the patient with insurance company
• Pre-Cert / authorization for upcoming surgeries with insurance company

Requirements:

• High school diploma or equivalent.
• Need at least 1 year of recent authorization experience
• Need to have or be willing to get a flu shot!
• Must be reliable and have good time management skills.
• Must have expeirence working an EMR system