Offer summary

Qualifications:

At least one year of experience with state and federal insurance programs in provider or payer settings., Bachelor's degree in Social Sciences, Life Sciences, Business or a related field or equivalent work experience., Familiarity with medical terminology, diagnosis, and service codes and health information system applications., Proficiency in Microsoft Office products..

Key responsabilities:

Manage incoming coverage authorization requests and process them accurately.

Work with various office staff to address questions and resolve issues related to authorizations.

Document provider calls within authorization records and maintain databases for reporting purposes.

Undertake other necessary duties as assigned.

Job description

Prior Authorization Coordinator needed for a temp opportunity with Yoh’s client located in San Francisco, CA! WORK FROM HOME Top Skills Should You Possess:**

One year experience with state and federal insurance programs from a provider or payer setting.
A Bachelor's degree in Social Sciences, Life Sciences, Business or a related field or equivalent work experience.
Knowledge of medical terminology and familiarity with diagnosis and service codes (ICD/CPT/HCPCS).
Experience with health information system applications and Microsoft Office products.

What You’ll Be Doing:

Manage incoming coverage authorization requests, entering them into the authorization software or re-directing them to appropriate entities outside.
Process authorization requests using procedures and electronic resources and refers cases to the Prior Authorization Nurse for medical necessity or benefit review within mandated regulatory timeframes.
Work with provider, facility and vendor office and delegated group staff to promptly answer questions and resolve issues related to authorizations.
Maintain accurate documentation of provider calls within authorization records.
Maintain databases for reporting requirements.
Perform other duties as required.

What You Need to Bring to the Table:

One year experience with state and federal insurance programs from a provider or payer setting.
A Bachelor's degree in Social Sciences, Life Sciences, Business or a related field or equivalent work experience.
Knowledge of medical terminology and familiarity with diagnosis and service codes (ICD/CPT/HCPCS).
Experience with health information system applications and Microsoft Office products.

Any pay ranges displayed are estimations which may have been provided by job boards. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.
What’s In It For You? We welcome you to be a part of the largest global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities.

Medical, Dental & Vision Benefits
401K Retirement Saving Plan
Life & Disability Insurance
Direct Deposit & weekly EPayroll
Employee Discount Programs
Referral Bonus Programs

What are you waiting for? Apply Now! Recruiter: Arlet Khachikyan
Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more here!

Note: Any pay ranges displayed are estimations. Actual pay is determined by an applicant's experience, technical expertise, and other qualifications as listed in the job description. All qualified applicants are welcome to apply.

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Visit https://www.yoh.com/applicants-with-disabilities to contact us if you are an individual with a disability and require accommodation in the application process.

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