Telecommute Associate Prior Authorization Specialist in Dayton

Job Summary

A non-profit health insurance company specializing in public healthcare programs is filling a position for a Telecommute Associate Prior Authorization Specialist in Dayton.

Must be able to:

• Convert information obtained from providers/members, (received via fax, phone or mail) into electronic records
• Facilitate/assist the authorization of benefits for out-of-network providers including completion of appropriate forms that are distributed to physicians’ offices, provider relations and the generation of approval letters
• Assist with authorizations as directed by desk references

Qualifications Include:

• High School Diploma or equivalent
• Minimum of one (1) year of clinical and/or insurance experience, or related healthcare education or certification (i.e. STNA, MA, etc)
• Managed care experience preferred
• Ability to complete necessary contact with provider/member to verify newborn information Input required data into system for newborns
• Knowledge of behavioral health systems
• Medical Terminology Certificate is preferred