Bilingual Pre-Authorization Specialist

Cognizant North America; Minot (ND); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Bilingual Pre-Authorization Specialist to join their patient service team. This remote position involves verifying benefit eligibility, reviewing medical orders, and collaborating with sales representatives for pre-authorization approvals. Ideal candidates will possess strong customer service experience, excellent communication skills, and a keen attention to detail. Join a company that values your skills and offers comprehensive benefits, including medical insurance and a 401(k) plan. If you're ready to make a difference in the healthcare field, this opportunity is for you!

Benefits

Medical/Dental/Vision/Life Insurance

Paid Time Off

401(k) plan

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Qualifications

• Bilingual in Spanish with strong customer service skills.
• Excellent written and verbal communication skills are essential.

Responsibilities

• Verify eligibility and benefits by making calls to health insurance companies.
• Acquire pre-authorization and maintain confidentiality of medical records.
• Operate in compliance with applicable laws and finalize cases.

Skills

Bilingual (Spanish)

Customer Service

Digital Literacy

Communication Skills

Attention to Detail

Education

High School Diploma or equivalent

Job description

Bilingual Pre-Authorization Specialist

This is a remote position open to any qualified applicant in the United States.

Job Overview:

Cognizant is looking to add a Pre-Authorization Specialist to our growing patient service team. The main function of the Pre-Authorization Specialist is to verify benefit eligibility, review/summarize orders, acquire prior authorization(s) and partner with respective Sales Representatives for pre-authorization approvals. You will partner with a company that designs, manufacture, and market products used primarily by musculoskeletal medical specialists in both surgical and non-surgical therapy. Your skills are needed, are you interested? If so, please apply in order to be considered. We look forward to reviewing your application!

This position will work CST hours where you will be assigned one of the following shifts based on business need:

• 7am-4pm
• 8am-5pm
• 10am-7pm

Required Qualifications:

• High School Diploma or equivalent experience
• Bilingual (Spanish)
• 6+ months of customer service experience
• Digital literacy skills
• Excellent written and verbal communication skills
• Strong attention to detail

Preferred Qualifications

• Medical/Health Insurance knowledge
• Medicare background

Responsibilities:

• Review orders, summarize medical portion of the file
• Makes and receives calls from health insurance companies to verify eligibility and benefits
• Acquire medical chart notes from reps/ thru doctors and contact payers to acquire pre- authorization
• Verify secondary pre authorization through documentation links if any
• Finalize the case and allow the application of the product on the patient
• Maintain confidentiality of any confidential medical records or patient information
• Operate in strict compliance with all applicable laws

The hourly rate for this position is $19 per hour, depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Cognizant will only consider applicants whom are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.