Prior Authorization Representative 100 Remote multiple openings

Andeo Group LLC; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated administrative support professional for a 3-month remote contract. This role involves performing crucial tasks such as benefit verification, claims management, and providing general support to the health care department. With a focus on problem-solving and data tracking, you will play a vital role in ensuring smooth operations and effective communication within the team. If you have a passion for health care and possess the necessary experience, this opportunity offers a chance to make a meaningful impact while working from the comfort of your home. Join a forward-thinking company and contribute to the well-being of the community.

Qualifications

• 3 years of experience in health care claims/service areas or office support.
• Knowledge of CPT and ICD-10 coding is preferred.

Responsibilities

• Provide administrative support including benefit verification and claims inquiries.
• Assist with reporting and data tracking for health care processes.

Skills

Administrative Support

Benefit Verification

Claims Management

Data Tracking

Problem Solving

Education

High School Diploma or GED

Job description

LOCATION
100% Remote (must be local to DC, MD, VA or WV)

DURATION
3 month contract

JOB DUTIES

• Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
• Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
• Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
• Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.

QUALIFICATIONS

• Education Level: High School Diploma or GED
• 3 years of experience in health care claims/service areas or office support.

PREFERRED QUALIFICATIONS

• 2 years of experience in health care/managed care setting or previous work experience within division
• Knowledge of CPT and ICD-10 coding.