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Prior Authorization

Remote: 
Full Remote
Contract: 
Experience: 
Entry-level / graduate
Work from: 
Illinois (USA), United States

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.
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Axelon Services Corporation Human Resources, Staffing & Recruiting SME https://www.axelon.com/
501 - 1000 Employees
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Job description

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.

Required profile

Experience

Level of experience: Entry-level / graduate
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Problem Solving
  • Verbal Communication Skills
  • Detail Oriented

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