Pre-Authorization SpecialistVirtualVocations • Springfield, Massachusetts, United States
Pre-Authorization Specialist
VirtualVocations • Springfield, Massachusetts, United States
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A company is looking for a Pre-Authorization Specialist.
Key Responsibilities
Analyze information required to complete pre-authorizations based on insurance / payer requirements
Utilize third-party payer / insurance portals to process pre-auth submissions and document results
Communicate pre-authorization approvals or denials to leadership, providers, and nurses
Required Qualifications, Training, and Education
Experience with insurance providers and their authorization processes
Proficiency in using Epic for documentation of pre-authorization information
Ability to advocate for patients and providers in a time-sensitive manner
Knowledge of clinical information required for pre-authorization submissions
Experience in identifying trends and challenges related to pre-authorizations
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Specialist • Springfield, Massachusetts, United States
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