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, and submitting and monitoring pre-authorizations.

In Short

• Complete pre-registrations for patients.
• Verify insurance information and eligibility.
• Validate referrals and prior authorizations.
• Submit and monitor pre-authorizations.
• Provide price estimates for healthcare services.
• Identify and secure financial resources for services.
• Communicate ABN issues to providers.
• Resolve pre-service authorization denials.
• Serve as a functional expert for peers.
• Meet 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 customer service preferred.
• Medical Terminology proficiency required.
• One year experience in a healthcare setting preferred.
• Graduate of a health vocational program or AA Degree with healthcare experience preferred.

Benefits

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