Remote Prior Authorization Specialist

Wheaton, IL |$40-50K | Job ID: 107998

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Job Description

Our client is looking for several Remote Prior Authorization Specialists because of its amazing growth! 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. The ideal candidate has 2-4 years of prior authorization experience within the last 7 years.

Prior Authorization Specialist Responsibilities:

  • 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
  • Use the insurance verification systems to contact the patient and their partner’s insurance to verify benefits, identify benefit maximums and coordinate 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,

Laura Peterson
Associate Unit Manager, Healthcare Revenue Cycle
LaSalle Network

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-OTHRCS

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

LaSalle Network is the leading provider of professional staffing and recruiting services. LaSalle has worked with more than 10,000 companies, ranging from Fortune 500s to start ups. With units specializing in accounting and finance, administrative, marketing, executive search, technology, supply chain, healthcare revenue cycle, call center, and human resources, LaSalle serves companies of all sizes and across all industries.