Prior Authorization Specialist (Epic & Payer Expert)

Lexington Health; Columbia (SC); On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Day ONE medical, dental and life insurance benefits

Health care and dependent care flexible spending accounts (FSAs)

403(b) match plan day one

Employer paid life insurance

Tuition reimbursement

Student loan forgiveness

Job summary

Lexington Health is seeking a dedicated professional to authorize referrals prior to patient appointments. Utilizing Epic and Experian RTA systems, you will manage prior authorizations for imaging and specialty services, ensuring accurate clinical information submission.

Minimum qualifications include a High School Diploma and at least 6 months of relevant experience. The role offers comprehensive benefits, including medical, dental, and tuition reimbursement.

Qualifications

• Minimum 6 months of referral and/or authorization experience.

Responsibilities

• Authorize referrals prior to patient appointments.
• Utilize Epic Referral Work Queues and Experian RTA for prior authorizations.
• Communicate authorization updates to departments.

Skills

Strong Medical Terminology and Insurance Knowledge

Knowledge of ICD-10 and CPT Coding

Education

High School Diploma or Equivalent

Job description

Lexington Health is seeking a dedicated professional to authorize referrals prior to patient appointments. Utilizing Epic and Experian RTA systems, you will manage prior authorizations for imaging and specialty services, ensuring accurate clinical information submission.

Minimum qualifications include a High School Diploma and at least 6 months of relevant experience. The role offers comprehensive benefits, including medical, dental, and tuition reimbursement.