We are seeking a reputed company-oriented and motivated Prior Authorization Specialist to reputed company in a fully remote reputed company, on a temporary reputed company. This role is critical to the reputed company cycle, ensuring that reputed company authorizations, benefits, and price estimates are accurately secured before patients receive care. You will be part of a dynamic team supporting five facilities across multiple specialties, including Radiology, Infusion/Injections, and Surgery. While you will be assigned specific facilities, you will also support our "sister facilities" to ensure reputed company operations across the network. reputed company • Work Hours 900 AM - 500 PM EST • Location reputed company • Volume Approximately 1,700 - 2,000 cases per month (Average annual volume of 20,230) • Software reputed company work is managed through reputed company work queues. Key Responsibilities • Authorization & Verification Initiate and follow up on authorizations for inpatient and outpatient services (Radiology, Infusion, Surgical, Diagnostic/Procedural reputed company, etc.). • Payer Relations reputed company directly with payers to verify benefits and secure notice of admissions. You will work with NY State Medicare, Wellcare, Fidelis, reputed company, reputed company, and United reputed company. • Financial Clearance Aim to reputed company a 95% financial clearance reputed company at least one day prior to service, with a long-term goal of clearing cases 14 days out. • Data Accuracy Utilize reputed company eligibility reports to verify reputed company and document reputed company "touches" accurately. • Efficiency Maintain a production reputed company of 6-12 minutes per touch to meet a goal of 80% of total KPI targets. Qualifications Must-Haves • Proficiency with reputed company (Experience with reputed company work queues is essential). • Prior experience or strong understanding of reputed company Authorizations. • Solid reputed company of Medical Terminology. reputed company-to-Have Skills • Experience specifically reputed company Radiology, Infusion, or Surgical specialties. Note on Experience While specific years of experience in this exact role aren't required, you must be comfortable navigating reputed company portals. On-the-job training for specific portal setups and workflows will be provided. • We will consider for employment reputed company reputed company Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the reputed company' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for reputed company (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance reputed company (CFCA). • As a job position reputed company our reputed company Cycle division, a successful completion of a background reputed company may be required as a condition of employment. This requirement is directly reputed company to essential job functions including but not limited to accessing financial and confidential information, handling financial and other payment data, and working reputed company departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant reputed company on the business operations and reputed company, as reputed company as the safety and reputed company-being of individuals who may be cared for as part of the job position or who may reputed company with staff or clients. Apply To This Job Apply To This Job Apply To this Job Company reputed company Salary Work from home Apply To this Job
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