Clinic Administrator

The Judge Group; Las Vegas (NV); Remote; USD 27,552 - 34,440; Part time

Job summary

A leading health care provider in Las Vegas is seeking an Eligibility & Prior Authorization Specialist for a 2-month contract. The role involves managing administrative intake and processing service requests in a high-volume environment. Candidates should have strong customer service skills and familiarity with relevant software. This is a telephonic interview process.

Qualifications

• Experience in a high volume customer service environment.
• Ability to efficiently manage incoming and outgoing referrals.
• Strong administrative intake skills.

Responsibilities

• Manage administrative intake of facilities and provider offices.
• Work with clinical teams to handle service requests.
• Process referrals and prior authorizations.

Skills

Customer service

Administrative management

Computer skills (Adobe, Facets, Macess)

Job description

Eligibility & Prior Authorization Specialist

Contract: 2-months contract with possible extension

Shift: 08:00 AM – 05:00 PM (Monday-Friday)

Responsibilities

• Manage administrative intake of facilities, provider offices and members.
• Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers.
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles.
• Assist the clinical staff with setting up documents/triage cases for clinical coverage review.
• Handle resolution/inquiries from members and/or providers.
• This is high volume, customer service environment.
• You’ll need to be efficient, productive and thoroughly deal with our members over the phone.

Software skills: Computer skills – Adobe, Facets, Macess

Interview process: Telephonically

Seniority level: Associate

Employment type: Contract

Job function: Health Care Provider

Industries: Hospitals and Health Care