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Prior Authorization Specialist

Medical Service Company

Cleveland (OH)

Hybrid

Full time

7 days ago
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Job summary

Medical Service Company is seeking a full-time Prior Authorization Specialist to support intake staff with insurance verifications and authorization requests. The position offers hybrid work flexibility, allowing in-office work on certain days while providing remote opportunities. With competitive pay and comprehensive benefits, this role is essential to ensuring efficient order fulfillment and effective communication across teams.

Benefits

Competitive Pay
Advancement Opportunities
Medical, Dental & Vision Insurance
HSA Account w/Company Contribution
Pet Insurance
Life and AD&D Insurance
Short-Term and Long-Term Disability
Tuition Reimbursement Program
Employee Assistance Program (EAP)
Employee Referral Bonus
401k with matching program
Paid vacation and sick days

Qualifications

  • Graduate of an accredited high school or GED equivalence.
  • Knowledge of the HME/DME industry is preferred.

Responsibilities

  • Support intake staff by assisting with insurance verification.
  • Initiates authorization requests with insurance companies.
  • Communicates with case management regarding insurance related issues.

Skills

Multi-tasking
Detail-oriented
Effective communication
Organizational skills
Computer proficiency

Education

High school diploma or GED

Job description

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MEDICAL SERVICE COMPANY is a family owned and operated durable medical equipment and

respiratory provider that's been in business for 70+ years!

MSC is a 13-Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work - 2024!

MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US.

In Addition, we are very proud to share that we have been awarded the distinguished honor of

2021 - HME Provider of the Year!

Join Our Team!

We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days.

Benefits included!

Apply today to become a part of our dynamic team!

  • Competitive Pay
  • Advancement Opportunities
  • Medical, Dental & Vision Insurance
  • HSA Account w/Company Contribution
  • Pet Insurance
  • Company provided Life and AD&D insurance
  • 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


Responsibilities and Duties:

  • Support intake staff by assisting with insurance verification.
  • Initiates authorization requests with insurance companies and government payers and obtains the necessary documentation.
  • Communicate and report to case management any insurance related issues for order fulfillment.
  • Monitors outstanding authorization requests and initiates follow up of authorizations in a timely manner.
  • Assists with insurance changes when prior authorizations are needed.
  • Manages phone calls related to prior authorizations.
  • Other duties as assigned.


Qualifications:

Education: Graduate of an accredited high school or GED equivalence.

Experience/Knowledge/Skills/Physical Requirements

  • Ability to multi-task in a fast-paced environment
  • Detail and team oriented
  • Effective communication (verbal and written) and organizational skills
  • Proven computer proficiency, the use of multiple applications simultaneously
  • Knowledge of the HME/DME industry is preferred


**Starts no less that $16.50

Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Other
  • Industries
    Hospitals and Health Care

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