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Prior Authorization Specialist

Company: LaSalle Network
Location: Schaumburg
Posted on: November 25, 2022

Job Description:

Job Description
Our client is looking for several Prior Authorization Specialists because the amazing growth within its healthcare organization! The ideal prior experience would be working with physicians and clinical staff in a medical or clinical setting and a person who thrives in a fast paced, production-oriented work environment is also preferred!
The Prior Authorization Specialist will be responsible for processing insurance verification and referral/pre-certification/pre-authorization requests. An ideal candidate would have 2-4 years of prior authorization experience within the last 7 years.
Prior Authorization Specialist Requirements

  • Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization
  • Extend expired authorizations when treatment has been delayed
  • Uses the insurance verification systems to contact the patient and their partner's insurance to verify benefits, identify benefit maximums, and coordination of benefits
  • Identify any need for documentation to obtain treatment precertification and notify provider immediately
    Prior Authorization Specialist Requirements
    • 2-4 years of prior authorization experience
    • Understanding of insurance requirements for prior authorization
    • Knowledge of registration, verification, pre-certification, and scheduling procedures
    • Understanding of payer processes to submit appropriate clinical documentation
    • Strong proficiency computer navigation skills, with basic Microsoft Office/Outlook skills
    • Medical Terminology Knowledge required
      If you are qualified and interested in the Prior Authorization Specialist role, please apply today!
      Thank you,
      Courtney Cochran
      Healthcare Revenue Cycle
      LaSalle Network
      Keywords and Related Terms: scheduling , referrals, insurance verification, pre-authorization, pre-certification, patient access , registration , registrar , insurance , review , submit , compliance , discrepancies , prior authorization, prior-authorization, pharmacy
      LaSalle Network is an Equal Opportunity Employer m/f/d/v.
      LaSalle Network is the leading provider of professional staffing and recruiting services. LaSalle has worked with more than 10,000 companies, ranging from Fortune 500s to start ups. With units specializing in accounting and finance, administrative, marketing, executive search, technology, supply chain, healthcare revenue cycle, call center, and human resources, LaSalle serves companies of all sizes and across all industries.

Keywords: LaSalle Network, Schaumburg , Prior Authorization Specialist, Other , Schaumburg, Illinois

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