Prior Authorization Specialist - Expert Recruitment

Prior Authorization Specialist

Southwest Houston, TX

$18/hr

• Able to work 8:30am to 5pm Monday through Friday
• At least two years of medical office experience
• Experience processing authorization requests for medications, procedures, office visits via payer website or by phone and follow-up regularly on pending cases
• Processing includes data entry of authorization number, number of visits and expiration date
• Review external referrals brought in by patients or sent by PCPs to verify all dates are valid and referral is written correctly for services requested
• Knowledge of authorizations and its direct impact on practice’s revenue cycle
• Understanding of payer medical policy guidelines to manage authorizations effectively
• Knowledge of ICD-10 and CPT codes
• Good communication skills and above average organizational skills
• Complete job profile is available