Pre Service IV Auth Specialist - Remote

Overview

The Pre-Service IV/Auth Specialist completes pre-registrations by patient type and anticipated healthcare service by verifying insurance information, validating referrals and prior authorizations, submitting and monitoring pre-authorizations while meeting daily productivity and quality standards.

In Short

• Completes pre-registrations for healthcare services.
• Verifies insurance information and eligibility.
• Validates referrals and prior authorizations.
• Submits and monitors pre-authorizations.
• Provides price estimates for healthcare services.
• Identifies financial resources for healthcare services.
• Communicates ABN issues to referring providers.
• Works with providers to resolve authorization denials.
• Serves as a functional expert for peers.
• Meets daily productivity and quality standards.

Requirements

• One year of post high school business or college coursework preferred.
• National Association of Healthcare Access Management Certification preferred.
• Minimum one year experience in a customer service role preferred.
• Medical Terminology proficiency by exam.
• One year admitting, billing, or registration experience in a healthcare setting OR graduate of a health vocational program.
• AA Degree and six months healthcare experience.

Benefits

• Comprehensive benefits package.
• Competitive salary.
• Medical, dental, and retirement benefits.
• Paid time off.
• Employee-centric work environment.