Job Summary

A pediatric therapy company is filling a position for a Telecommute Prior Authorization Specialist.

Individual must be able to fulfill the following responsibilities:

• Manage daily work queues to ensure prior authorizations are submitted within the company policy and timeline
• Owning payer’s policy and procedures, documenting payer coverage, and manage existing client’s payer and prior auth requests changes
• Communicating any potential issues or delays in updating client’s information per the practice management system with a supervisor

Qualifications Include:

• Fully comprehend and decipher varying payer prior auth responses and letters
• Mathematics, balancing and reconciling skills
• Organizational skills and efficient time management skills
• Must be able to establish priorities and a course of action for handling multiple tasks
• Ability to satisfactorily perform other duties upon request by supervisor or dept head
• Must achieve goals beyond minimal levels of performance with excellent problem-solving skills