Job Description

Our client is looking for several Prior Authorizations Specialists because of the amazing growth within their healthcare organization! The ideal candidate will have prior experience working with physicians and clinical staff in a medical or clinical setting and a person who thrives in a fast paced, production-oriented work environment is also preferred!

The  Prior Authorizations Specialist will be responsible for processing insurance verification and referral/pre-certification/pre-authorization requests. An ideal candidate would have 2-4 years of prior authorization experience within the last 7 years.

Prior Authorizations Specialist Responsibilities:

• Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization
• Extend expired authorizations when treatment has been delayed
• Uses the insurance verification systems to contact the patient and their partner’s insurance to verify benefits, identify benefit maximums and coordination of benefits
• Identify any need for documentation to obtain treatment precertification and notify provider immediately

Prior Authorizations Specialist Requirements:

• 2+ years of prior authorization experience
• Understanding of insurance requirements for prior authorization
• Knowledge of registration, verification, pre-certification and scheduling procedures
• Understanding of payer processes to submit appropriate clinical documentation
• Strong proficiency computer navigation skills, with basic Microsoft Office/Outlook skills
• Medical Terminology Knowledge required

If you are qualified and interested in the Prior Authorizations Specialist role, please apply today!

Thank you,

Cassie Schacht 
Project Manager, Healthcare Revenue Cycle
LaSalle Network

Job Tags

Contract work, Temporary work, Immediate start,

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