Pre-Authorization Specialist

Job Summary

A company is looking for a Pre-Authorization Specialist (Remote).

Key Responsibilities

• Contact insurance companies and third-party administrators to determine pre-authorization and medical necessity requirements
• Verify eligibility and obtain pre-authorizations as needed per insurance company requirements
• Confirm necessary documents for accurate submission of pre-authorization requests and communicate with clients regarding additional documentation

Required Qualifications

• Experience in customer service
• Experience with authorizations
• Radiology authorization experience required
• Knowledge of medical terminology and ICD 10 coding
• Knowledge of insurance benefits