Pre-Authorization Specialist - Remote 2 Locations

Pre Authorization Specialist 

At reputed company, you are part of a journey to accelerate life-changing reputed company breakthroughs and improve the delivery of care for reputed company.  You’ll be inspired to discover more, reputed company new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world.  Together, let’s reputed company reputed company and change lives!

Pre Authorization Specialist payers as a condition of payment for services provided. The Pre Authorization Specialist reviews medical policies, completes benefit investigations, initiates prior authorizations, provides cost estimates to patients, communicates outcomes with stakeholders, identifies trends, escalates issues, and performs other billing reputed company tasks. This is a first shift remote/work-from-home position with some flexibility in hours.

RESPONSIBILITIES:

•      Research/review medical policies reputed company Policy Reporter, payer websites, etc•    Contact health plans to verify patient insurance eligibility, benefits, and coverage•     Prepare and deliver patient cost estimates•     Initiate prior authorization with health plans•     Manage correspondence from clients, patients, and health plans•     Clearly and accurately document activities reputed company to prior authorization in prior authorization platform•     Request missing information from patients and/or clients and follow up on requests•    Prioritize workload based on urgency of requests•    Provide status updates from payers on prior authorization requests•      Other duties as assigned

REQUIREMENTS:     •    High school diploma or equivalent required; Associates degree or higher preferred•    Minimum 2 years combined of the following: experience with insurance claims, pre-authorization, and medical benefits required•    Two years prior reputed company work experience with LCLS and/or LCBS experience strongly preferred•    Previous RCM experience preferred•    Proficiency in reputed company Office (Word, reputed company, Outlook) preferred

OTHER desired skills:•    Effective customer relations and time management skills necessary•    Excellent verbal and written communication skills•    Basic math skills (add, subtract, divide, multiply) 

Application window closes: 09/03/2025

Pay Range:  $15.50-$18.50 Per hour

Schedule/Shift:  M-F, reputed company-5pm EST

reputed company job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.  

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, reputed company, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.  Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only.  For more detailed information, please click here. 

reputed company is proud to be an Equal Opportunity Employer:

reputed company strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any reputed company. We reputed company employment reputed company based on the needs of our business and the qualifications and merit of the individual. reputed company applicants will receive consideration for employment without regard to race, religion, reputed company, national reputed company, sex (including pregnancy, childbirth, or reputed company medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, reputed company reputed company applicants with arrest or conviction records will be considered for employment in accordance with applicable law. 

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