Prior Authorization Specialist II – Hybrid Role & Benefits

Medical Service Co.; Cleveland (OH); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Competitive Pay

HSA Account w/Company Contribution

Pet Insurance

Company provided Life and AD&D

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

Company Discounts

Payactiv/On-Demand Pay

Paid vacation, Sick Days, YOU (Mental

Health) Days and Holidays

Job summary

Medical Service Co. in Ohio is seeking an experienced PAR specialist to join our revenue cycle team. This full-time hybrid role requires hands-on renewal authorizations, insurance verifications, and timely resubmissions across multiple payers.

Work in our offices on Tue-Thu with remote capability on other days, and enjoy comprehensive benefits, tuition reimbursement, and competitive pay. Minimum 3 years' healthcare revenue cycle experience is preferred.

Qualifications

• Minimum 3 years of revenue cycle experience in healthcare.
• Experience with prior authorizations and insurance verification is required.
• Knowledge of HME/DME industry is preferred.

Responsibilities

• Initiates renewal authorization requests with insurance companies and government payers.
• Monitors outstanding renewal authorization requests and follows up timely.
• Manages all held revenue related to prior authorizations for insurances assigned.
• Handles all claim denials due to missing prior authorization for insurances assigned.
• Maintains accurate and complete records concerning billing activity.
• Manages phone calls related to prior authorizations.
• Processes insurance changes when prior authorizations are needed.
• Communicates obstacles to PAR Supervisor/Manager.
• Serves as back up for prior authorization team tier 1.
• Other duties as assigned.

Skills

Revenue Cycle Experience

Healthcare Billing

Prior Authorizations

Insurance Verification

Detail-oriented

Education

High School Diploma or GED

Job description

Medical Service Co. in Ohio is seeking an experienced PAR specialist to join our revenue cycle team. This full-time hybrid role requires hands-on renewal authorizations, insurance verifications, and timely resubmissions across multiple payers.

Work in our offices on Tue-Thu with remote capability on other days, and enjoy comprehensive benefits, tuition reimbursement, and competitive pay. Minimum 3 years' healthcare revenue cycle experience is preferred.