Telecommute Clinical Prior Authorization Insurance Reviewer in Henderson

Job Summary

has a current position open for a Telecommute Clinical Prior Authorization Insurance Reviewer in Henderson.

Core Responsibilities of this position include:

• Reviewing, processing, and auditing the medical necessity for each patient radiation oncology treatment, imaging and testing requests
• Communicating with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans
• Providing prompt feedback to physicians and management regarding documentation issues and payer issues with non-covered or denied services

Required Skills:

• High school diploma or equivalent required
• Associates degree in Healthcare
• Minimum three years medical insurance verification and authorization