Prior Authorization Specialist - Denver, CO
A Prestigious healthcare organization in North Atlanta has a need for a remote candidate based in the Denver Metro area. The candidate will need to be well versed in pre-certing and obtaining authorizations.
Pay: $20-24/hr (Depending on experience)
Hours: training is 8am - 5pm (Monday – Friday) Once trained can choose a start time between 7am-9:30am. 8 hour shift & lunch required
RESPONSIBILITIES:
- Review/Complete a minimum of 45 accounts a day
- Experience completing online authorization requests
- Experience reviewing clinical documentation/medical records
- Familiar with diagnosis codes
- Experience with consistently working in multiple applications to complete task
MINIMUM QUALIFICATIONS:
- Minimum 3 years’ experience with prior authorizations and precerts
- Working knowledge of diagnostic codes
- Working Knowledge of submitting pre-cert request via insurance web portals (ex Availity, Carelon, Evicore)
- Knowledge of NCCN and Medicare LCD guidelines
- Ability to read and interpret medical records
- Excellent communications skills, will be required to communicate with clinical team, patients, pharmacy
- High school diploma or equivalent
- Typing skills and good communication skills
- Must pass criminal background and drug test
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Weekly day range:
Experience:
- Insurance verification: 1 year (Preferred)
Ability to Commute:
Work Location: In person