Pre-Authorization Specialist
VirtualVocationsNewark, New Jersey, United Statesjob_description.job_card.30_days_ago
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- serp_jobs.job_card.full_time
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A company is looking for a Pre-Authorization Specialist.
Key Responsibilities
Identify prior authorization requirements by insurance / payer and process pre-authorizations for scheduled and add-on services
Utilize third-party payer / insurance portals to submit pre-authorizations and document results accurately
Communicate pre-authorization approvals or denials to leadership and healthcare providers, advocating for patients in a timely manner
Required Qualifications
Experience with insurance providers and their authorization processes
Knowledge of Epic or similar healthcare documentation systems
Ability to analyze and interpret insurance coverage information
Experience in a healthcare setting related to pre-authorizations
Relevant certifications in healthcare administration or insurance processes may be preferred
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Specialist • Newark, New Jersey, United States
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