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Prior Authorization Specialist

VirtualVocations
Washington, District of Columbia, United States
Full-time

A company is looking for a Prior Authorization Specialist to manage authorization requests for outpatient diagnostic and surgical services.

Key ResponsibilitiesDetermine authorization requirements and escalate cases as neededSubmit authorization requests and gather clinical data for insurance companiesFollow up with physician offices and patients to ensure timely processing of requestsRequired QualificationsHigh School Diploma or GED equivalentHealthcare experience and familiarity with medical terminologyKnowledge of prior authorization processes and revenue cycleBasic computer skills and familiarity with insurance carrier websitesAbility to work effectively in a remote environment

4 days ago
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