PRIOR AUTHORIZATION SPECIALIST- REMOTE POSITION-FT

Freddie Mac; Craig (CO); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking healthcare services organization where you can make a difference in patient care. This role offers the opportunity to engage in the prior authorization process, ensuring seamless communication between providers and patients. You will be part of a supportive team that values work-life balance and provides comprehensive benefits. If you are detail-oriented, have experience with medical billing, and thrive in a collaborative environment, this position is perfect for you. Embrace a fulfilling career that contributes to operational efficiency and patient care excellence.

Benefits

Comprehensive Benefits Package

Paid Time Off

Supportive Work Environment

Qualifications

• Experience in the prior authorization process is essential.
• Knowledge of medical coding systems like CPT and ICD-10 is preferred.

Responsibilities

• Obtain prior authorizations for physician-ordered procedures.
• Assist billing department in resolving rejected claims.
• Maintain communication regarding authorization status.

Skills

Prior Authorization Process

CPT Codes

ICD-10 Codes

HCPCS Codes

Multitasking

Bilingual Skills

Education

High School Diploma or Equivalent

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $30.39 per hour
- Comprehensive benefits package including Medical, Dental, Life, and Retirement plans
- Paid Time Off for work-life balance
- Opportunity to work in a supportive and collaborative environment
- Chance to contribute to patient care and operational efficiency within the organization

What to Expect (Job Responsibilities):
- Obtain prior authorizations and pre-certifications as per payer requirements for physician-ordered procedures
- Verify completeness of physician orders, authorization, and demographic information before submission to the scheduling department
- Maintain communication with providers, clinical staff, and patients regarding authorization status
- Assist the billing department in resolving rejected, incorrectly paid, and denied claims
- Track pending authorizations to ensure timely resolution

What is Required (Qualifications):
- Must be at least 16 years of age (21 for driving positions)
- High School Diploma or equivalent preferred
- Past experience in the prior authorization process
- Knowledge of CPT, HCPCS, and ICD-10 codes
- Ability to pass a background check and drug screen

How to Stand Out (Preferred Qualifications):
- Familiarity with Medical Terminology
- Experience with Microsoft Office applications, including Word, Excel, and PowerPoint
- Detail-oriented with strong multitasking abilities
- Bilingual skills are a plus

#HealthcareServices #PriorAuthorization #MedicalBilling #CareerOpportunity #RemoteWork

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