Prior Authorizations Specialist

Job Description

Job Description

The Prior Authorization Specialist will be responsible for accurately submitting authorizations, following up with payers, and appealing denials as required. Additional duties will include maintaining the accuracy of patient files including written and computer documentation and assists the patient / guarantor in claim payment.

We offer a generous benefits package including paid time off, medical, dental, vision, and a caring work environment. Our work touches the mind, body, heart and ultimately the spirit of those we serve, integrating our deep compassion with highly effective programs and services.

Applicants must have a high school diploma or GED, experience in medical billing and coding preferred. Prior authorization experience with home health / home care and Pathways is a plus. Preferred applicants will demonstrate strong oral and written communication skills and have experience with word and excel.