Prior Authorization Specialist

Schaumburg, IL |$40-50K | Job ID: 95533

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Job Description

Our client is looking for several Prior Authorization Specialists because the amazing growth within its healthcare organization! The ideal prior experience would be working with physicians and clinical staff in a medical or clinical setting and a person who thrives in a fast paced, production-oriented work environment is also preferred!

The Prior Authorization Specialist will be responsible for processing insurance verification and referral/pre-certification/pre-authorization requests. An ideal candidate would have 2-4 years of prior authorization experience within the last 7 years.

Prior Authorization Specialist Requirements:

  • Contact payer to obtain prior authorization. Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization
  • Extend expired authorizations when treatment has been delayed
  • Uses the insurance verification systems to contact the patient and their partner’s insurance to verify benefits, identify benefit maximums, and coordination of benefits
  • Identify any need for documentation to obtain treatment precertification and notify provider immediately


Prior Authorization Specialist Requirements:

  • 2-4 years of prior authorization experience
  • Understanding of insurance requirements for prior authorization
  • Knowledge of registration, verification, pre-certification, and scheduling procedures
  • Understanding of payer processes to submit appropriate clinical documentation
  • Strong proficiency computer navigation skills, with basic Microsoft Office/Outlook skills
  • Medical Terminology Knowledge required

 

If you are qualified and interested in the Prior Authorization Specialist role, please apply today!

Thank you,

Courtney Cochran
Healthcare Revenue Cycle
LaSalle Network
630-472-1700

Keywords and Related Terms: scheduling , referrals, insurance verification, pre-authorization, pre-certification, patient access , registration , registrar , insurance , review , submit , compliance , discrepancies , prior authorization, prior-authorization, pharmacy #LI-DNP

LaSalle Network is an Equal Opportunity Employer m/f/d/v.

LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries. LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets.