Prior Authorization Specialist

Full time Healthcare Prior Authorization Representative openings in the Getzville, NY area with a major healthcare company Starting ASAP Apply now to Silvana M.

with A-Line Pay: $18 per Hour Schedule: 8:30-5:00 pm (7.5 hours per day 37.5 hours per week) (1 hour lunch) if departmental standards are being met, overtime will be offered (Remote
– will return back to office at some point must be COVID vaccinated once returning back to office) Job Responsibilities: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.

Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list.

Route to appropriate staff when needed.

Verify eligibility and benefits Answer phone queues and process faxes within established standards Data enters authorizations into the system Preferred Skills: FACETS experience would be preferred but not required Prior authorization experience Why Apply: Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability GREAT Hours Monday through Friday, 40 hours per week, No Weekends Competitive Pay Rate Silvana M.

– Apply Directly for Consideration Healthcare, call center, mail order medications, Insurance Verification, Medicare, Medicaid, Medical billing, EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization, reimbursement counselor, Medical customer service, inbound calls, outbound calls, answer phones, make calls, medical terminology, medical office, medical claims, healthcare claims, claims processing

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