Offer summary
Key responsabilities:
- Obtain and resolve referrals and precertifications.
- Support insurance specific plan requirements.
- Assist in pre-appointment registration.
- Conduct insurance reviews to ensure clean claims.
The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim.
Lightci (Light Consulting)
Pantheon Inc
Everlight Solar
MailerLite
Global Payments