Prior Authorization Analyst

Prior Authorization Specialist

3 to 6 month contract (strong possibility of extensions), remote/work from home

Key Responsibilities:

• Referral Management: Process approximately 65 daily referrals for Oncology services, ensuring timely and accurate documentation.
• Authorization Coordination: Initiate and follow up on inpatient, ancillary, and surgical authorizations via provider offices, payor websites, and direct communication.
• System Navigation: Work within Epic and OnBase electronic fax queues to manage referral and authorization workflows.
• Cross-Department Collaboration: Coordinate with case management and third-party payors to ensure timely notification and clinical documentation for inpatient encounters.
• Quality Review: Conduct thorough reviews of inpatient encounters to ensure financial clearance and prevent reimbursement denials.

Qualifications:

• Oncology Prior Auth experience
• Experience with Epic (required)
• Strong communication and organizational skills
• Ability to work in a fast-paced, high-volume environment

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

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