Hybrid Senior Prior Authorization Specialist (Tier 2)

Medical Service Company; Cleveland, Lewis Center, Toledo (OH, OH, OH); Hybrid; USD 52.000 - 76.000; Vollzeit

Benefits dieser Stelle

Competitive Pay

HSA Account w/Company Contribution

Pet Insurance

Company provided Life and AD&D insu r

Short-Term and Long-Term Disability

Tuition Reimbursement Program

Employee Assistance Program (EAP)

Employee Referral Bonus Program

Social Recognition Program

Employee Engagement Opportunities

CALM App

401k (with a matching program) / Roth

IRA

Company Discounts

Payactiv/On-Demand Pay

Paid vacation, Sick Days, YOU (Mental 

Health Days and Holidays

Zusammenfassung

Medical Service Company (MSC) is seeking a detail-oriented Revenue Cycle Specialist to support the PAR team. This full-time hybrid role requires working in-office on Tuesdays, Wednesdays, and Thursdays with remote work on other days, and includes benefits such as HSA, life insurance, and retirement plans.

You will initiate renewal requests, follow up on authorizations, resolve denials, maintain billing records, and coordinate with insurers to ensure accurate and timely reimbursements.

Qualifikationen

• Minimum 3 years of revenue cycle experience in healthcare.
• Ability to multi-task in a fast-paced environment.
• Detail- and team-oriented with strong organizational skills.
• Proficient with multiple software applications and systems.
• Experience with prior authorizations and insurance verification is required.
• Knowledge of the HME/DME industry is preferred.

Aufgaben

• Initiates renewal authorization requests with insurance companies and government payers.
• Monitors outstanding renewal authorizations and follows up in a timely manner.
• Manages held revenue related to prior authorizations for insurances assigned.
• Handles all claim denials due to missing prior authorization.
• Maintains accurate records concerning billing activity.
• Manages phone calls related to prior authorizations.
• Training related to PAR processes.
• Processes insurance changes when prior authorizations are needed.
• Communicates obstacles to PAR Supervisor/Manager to avoid untimely resubmissions.
• Acts as back-up for PAR tier 1.

Kenntnisse

Revenue cycle experience

Multi-tasking

Attention to detail

Communication skills

Computer proficiency

Prior authorizations

Insurance verification

HME/DME knowledge

Ausbildung

High school diploma or GED

Jobbeschreibung

Medical Service Company (MSC) is seeking a detail-oriented Revenue Cycle Specialist to support the PAR team. This full-time hybrid role requires working in-office on Tuesdays, Wednesdays, and Thursdays with remote work on other days, and includes benefits such as HSA, life insurance, and retirement plans.

You will initiate renewal requests, follow up on authorizations, resolve denials, maintain billing records, and coordinate with insurers to ensure accurate and timely reimbursements.