Prior Authorization Specialist - 249351

Medix™; Phoenix (AZ); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

401(k) Retirement Plan

Medical, dental and vision plans

Major Medical Plan options

Job summary

A healthcare solutions company is hiring an on-site Prior Authorization Specialist in Phoenix, AZ. This role involves contacting insurance plans for eligibility, processing prior authorization requests, and documenting findings. Candidates must have at least 1 year of experience in prior authorizations and insurance eligibility, along with a high school diploma or GED. The position offers health benefits after 30 days of employment and includes a 401(k) retirement plan after 6 months of service.

Qualifications

• 1+ years of prior authorizations experience.
• 1+ years of insurance eligibility experience.
• High school diploma or GED.

Responsibilities

• Contact insurance plans to determine eligibility and obtain prior authorization.
• Process requests for prior authorization from clinics.
• Document findings thoroughly and accurately.
• Make necessary changes to demographic information.
• Meet or exceed productivity standards.
• Maintain an error rate in accordance with departmental policy.
• Train organizational staff on procedures.

Skills

Prior authorization experience

Insurance eligibility experience

Education

High school diploma or GED

Job description

Hiring an on-site Prior Authorization Specialist in Phoenix, AZ!

Schedule: M-F 8 - 4:30 PM MST

Day to day:

• Contacts insurance plans to determine eligibility, obtains coverage, benefit information, and prior authorization for services
• Processes requests for prior authorization from clinics and Patient Care Coordinators
• Documents findings thoroughly and accurately
• Makes changes to demographic information as necessary in order to produce a clean patient statement
• Meets or exceeds productivity standards in the completion of daily assignments and accurate production
• Maintains an error rate in accordance with departmental policy
• Performs training with organizational staff on procedures for requesting, documenting and processing prior authorizations

Must Have Qualifications:

• 1+ years of prior authorizations experience
• 1+ years of insurance eligibility experience
• High school diploma or GED

In order to be eligible for health benefits, you must be employed for 30 days and must average 30 hours per week over your first four weeks on assignment. If you become eligible and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).

401(k) Retirement Plan (After 6+ months of service, during a 401K enrollment period)

Medical, dental and vision plans with The American Worker, as well as three Major Medical Plan options!