What are the responsibilities and job description for the Prior Authorization Specialist position at Autumn Lake Careers?
Prior Authorization Specialist - Great Opportunity!
Great office enviroment: Pikesville, MD
Prior Authorization Specialist: This position is responsible for obtaining pre-authorizations for inpatient subacute rehab services for Maryland's largest skilled nursing facility network.
Prior Authorization Specialist - Qualification:
- Strong written and verbal communication skills
- Friendly & good customer service skills
- Knowledge in insurance verification & eligibility
- Basic Medical Terminology
- Organized & strong attention to details
- Punctual & good time management
- Occasional weekend and evening remote availability
Prior Authorization Specialist - Responsibilities:
The Prior Authorization Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to our skilled nursing facilities.
- Obtain timely authorizations for all patients requiring pre-certification
- Review clinical information to determine eligibility and accurate reimbursement rates for skilled nursing care
- Communicate denials and appeal information to admission teams and referral sources
- Document all communications thoroughly throughout the day
- Handle high volume of incoming calls and emails
- Develop relationships that increase and stabilize conversion
HP
Salary : $23 - $28
