Pre-Service Authorization Specialist

Job Summary

A company is looking for a Pre Service IV Auth Specialist.

Key Responsibilities

• Secure pre-authorizations from insurance companies for various healthcare services
• Review medical records and documentation for accurate submission of authorization requests
• Communicate with healthcare providers, insurance carriers, and patients to facilitate authorization decisions

Required Qualifications

• Minimum two (2) years of experience in pre-authorization or insurance billing within a healthcare setting
• Customer service experience in healthcare
• Proficiency in medical terminology, validated by examination
• Experience reviewing medical policies and interpreting CPT and HCPCS codes
• Completion of a health vocational program preferred