Pre-Authorization Specialist

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

Job summary

Join a dynamic team as a Pre-Authorization Specialist with a forward-thinking company that specializes in innovative medical solutions. In this remote role, you will play a vital part in ensuring patient access to necessary therapies by verifying benefit eligibility and acquiring prior authorizations. With a focus on customer service, you will collaborate with healthcare providers and insurance companies while maintaining the highest standards of confidentiality and compliance. This position offers a competitive hourly rate and a comprehensive benefits package, including medical, dental, and retirement plans. If you're detail-oriented and passionate about supporting patient care, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off

401(k) Plan

Long-term Disability

Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan

Qualifications

• 6+ months of customer service experience required.
• Excellent written and verbal communication skills are essential.

Responsibilities

• Review orders and summarize medical files.
• Verify eligibility and benefits with health insurance companies.
• Maintain confidentiality of medical records.

Skills

Customer Service Experience

Digital Literacy

Communication Skills

Attention to Detail

Education

High School Diploma or equivalent

Job description

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 and summarize orders, acquire prior authorizations, and partner with respective Sales Representatives for pre-authorization approvals. You will work with a company that designs, manufactures, and markets products used primarily by musculoskeletal medical specialists in both surgical and non-surgical therapy. If you are interested, please apply to be considered. We look forward to reviewing your application!

Work Hours:

This position will work CST hours, with shifts assigned based on business needs:

• 7am-4pm
• 8am-5pm
• 10am-7pm

Required Qualifications:

• High School Diploma or equivalent
• 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 and summarize the medical portion of the file
• Make and receive calls from health insurance companies to verify eligibility and benefits
• Obtain medical chart notes from representatives or doctors and contact payers to acquire pre-authorization
• Verify secondary pre-authorization through documentation links if available
• Finalize cases and facilitate the application of the product to the patient
• Maintain confidentiality of medical records and patient information
• Operate in strict compliance with all applicable laws

Compensation and Benefits:

The hourly rate for this position is $18 per hour, depending on experience and qualifications. It is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to plan terms.

Benefits include:

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

Additional Information:

The compensation and benefits details are accurate as of the posting date but may change. Cognizant considers only applicants authorized to work in the U.S. without sponsorship.