Eligibility and Prior Authorization Specialist-Temp to hire

Overview

Role involves managing eligibility verification and prior authorization processes.

Ideal candidate should have 3+ years of experience in medical billing and insurance collections.

Locations

• United States

Requirements

• 3 years experience in medical billing
• 3 years experience with eligibility and prior authorization
• Associate's Degree preferred

Responsibilities

• Conduct prior authorization case reviews
• Document authorization activities
• Address denied authorizations
• Evaluate case statuses
• Establish relationships with departments
• Work with vendor operations teams
• Track payment resolutions
• Monitor eligibility changes

Benefits

• comprehensive medical benefits
• dental benefits
• vision benefits
• life and disability plans
• free testing for employees and families
• 401k benefits
• pregnancy and baby bonding leave
• commuter benefits