To ensure financial clearance for healthcare services, the full-time Pre-Service Authorization Specialist will manage pre-authorization processes, verify insurance information, and communicate with healthcare providers and insurance carriers while working remotely. Key responsibilities: Secure pre-authorizations for various healthcare services and respond to clinical inquiries through insurance portals Review medical records and documentation to ensure accurate submissions for ordered services Maintain productivity standards while serving as a subject matter expert on referrals and authorizations Required qualifications: Minimum two (2) years of experience in pre-authorization, referral coordination, or insurance billing in a healthcare setting Customer service experience in healthcare Proficiency in medical terminology, validated by examination Experience interpreting CPT and HCPCS codes in alignment with payer guidelines Completion of a health vocational program (e.g., Medical Assistant, Medical Billing & Insurance) preferred
Pre-Service Authorization Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.