Prior Authorization Specialist at Virtual Vocations Inc United States

Virtual Vocations Inc; United States; Remote; USD 28,000 - 39,000; Part time

Job summary

Healing Strides Counseling is seeking a part-time Per Diem Prior Authorization Specialist to support the financial clearance process remotely. The role focuses on screening prior authorization requests, coordinating services, and ensuring departmental guidelines are followed.

You will work with clinicians and other stakeholders to obtain necessary information, navigate payer policies, and maintain up-to-date knowledge of insurance requirements to facilitate timely access to care.

Qualifications

• High school diploma or GED required.
• 4-5 years of office experience in a high-volume data entry, customer service call center, or healthcare setting.
• Experience with insurance verification, prior authorization, and financial clearance processes.
• Familiarity with insurance payer websites and basic medical terminology is helpful.
• Bilingual candidates are preferred.

Responsibilities

• Prioritizes and processes incoming prior authorization requests, authorizing specified services as per departmental policies.
• Collaborates with clinicians and other stakeholders to obtain necessary information and ensure timely access to care.
• Maintains knowledge of insurance requirements and navigates payer policies to facilitate financial clearance for scheduled services.

Skills

Office experience

Data entry

Customer service

Healthcare setting

Bilingual

Education

High school diploma or GED

Associate's degree or higher preferred

Job description

To support the financial clearance process, the part-time Per Diem Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with departmental guidelines while working remotely.

Key responsibilities

• Prioritizes and processes incoming prior authorization requests, authorizing specified services as per departmental policies
• Collaborates with clinicians and other stakeholders to obtain necessary information and ensure timely access to care
• Maintains knowledge of insurance requirements and navigates payer policies to facilitate financial clearance for scheduled services

Required qualifications

• High school diploma or GED required; Associate's Degree or higher preferred
• 4-5 years of office experience in a high-volume data entry, customer service call center, or healthcare setting
• Experience with insurance verification, prior authorization, and financial clearance processes
• Familiarity with insurance payer websites and basic medical terminology is helpful
• Bilingual candidates are preferred