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Company Name : Medical Service Company
Location : Cleveland, OH
Position : Prior Authorization Specialist Work From Home!
Job Description : It’s a great time to JOIN OUR TEAM!
Remote work, full time M-F hours!
Medical Service Company’s success is due to our exceptionally skilled, dedicated and passionate TEAM! From our Billing Department to our Board of Directors, from Operations to Organization Development, from Clinicians to Technicians, we all have one common goal…Caring, for life! ™
Proud winner of: NorthCoast99 Top Places to Work in Northeast Ohio!
The Prior Authorization Specialist participates in monitoring and improving processes relative to the quality, appropriateness, and timeliness of the reimbursement information requirements of our order processing activities.
Reports To: Revenue Qualification Manager
Responsibilities and Duties:
Support intake staff by assisting with insurance verification.
Initiates authorization requests with insurance companies and government payers and obtains the necessary documentation.
Communicate and report to case management any insurance related issues for order fulfillment.
Monitors outstanding authorization requests and initiates follow up of authorizations in a timely manner.
Assists with insurance changes when prior authorizations are needed.
Manages phone calls related to prior authorizations.
Other duties as assigned.
Qualifications:
Education: Graduate of an accredited high school or GED equivalence.
Experience/Knowledge/Skills/Physical Requirements:
Ability to multi-task in a fast-paced environment
Detail and team oriented
Effective communication (verbal and written) and organizational skills
Proven computer proficiency, the use of multiple applications simultaneously
Knowledge of the HME/DME industry is preferred
Previous experience in referral intake and/or medical insurance is preferred
Benefits
Medical/Dental Insurance
Company provided life and AD&D insurance
Short Term and Long Term Disability
Tuition Reimbursement Program
Employee Assistance Program (EAP)
401k (with a matching program)
Paid vacation and holidays
This post is listed Under Ohio jobs
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