Pre-Authorization Specialist - Remote, United States

Lab; North (SC); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare services company is seeking a motivated individual for a remote role, tasked with researching medical policies and managing patient insurance verification. Candidates should have a high school diploma (Associate's preferred) and at least 2 years of relevant experience. The role offers a competitive salary of up to $18.50 per hour along with a comprehensive benefits package including medical, dental, and 401(k).

Benefits

Comprehensive benefits package

Opportunity for career advancement

Flexible work-from-home position

Qualifications

• Minimum 2 years of experience with insurance claims, pre-authorization, and medical benefits required.
• Previous experience at the employer strongly preferred.

Responsibilities

• Research and review medical policies via various platforms.
• Contact health plans to verify patient insurance eligibility, benefits, and coverage.
• Prepare and deliver patient cost estimates.
• Initiate prior authorization with health plans and manage correspondence.
• Document activities related to prior authorization in the appropriate platform.

Skills

Insurance claims experience

Customer relations

Time management

Microsoft Office

Education

High school diploma or equivalent

Associate's degree or higher

Job description

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity

• Salary up to $18.50 per hour
• Comprehensive benefits package including Medical, Dental, Vision, Life, and 401(k)
• Opportunity for career advancement and growth within the organization
• Flexible work-from-home position with some flexibility in hours
• Supportive and inclusive work environment

Responsibilities

• Research and review medical policies via various platforms
• Contact health plans to verify patient insurance eligibility, benefits, and coverage
• Prepare and deliver patient cost estimates
• Initiate prior authorization with health plans and manage correspondence
• Document activities related to prior authorization in the appropriate platform

Qualifications

• High school diploma or equivalent required; Associate's degree or higher preferred
• Minimum 2 years of experience with insurance claims, pre-authorization, and medical benefits required
• Previous experience at the employer strongly preferred
• Proficiency in Microsoft Office (Word, Excel, Outlook) preferred
• Effective customer relations and time management skills necessary

Preferred Qualifications

• Two years prior experience in revenue cycle management (RCM) preferred
• Excellent verbal and written communication skills
• Basic math skills (addition, subtraction, multiplication, division)

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