- Contact payer to obtain prior authorization; gather additional clinical and or coding information, as necessary, in order to obtain prior authorization
- Extend expired authorizations when treatment has been delayed
- Use the insurance verification systems to contact the patient and their partner's insurance to verify benefits, identify benefit maximums and coordinate benefits
- Identify any need for documentation to obtain treatment precertification and notify provider immediately
- 2-4 years of prior authorization experience
- Understanding of insurance requirements for prior authorization
- Knowledge of registration, verification, pre-certification, and scheduling procedures
- Understanding of payer processes to submit appropriate clinical documentation
- Strong proficiency computer navigation skills, with basic Microsoft Office/Outlook skills
- Medical Terminology Knowledge required
-
Prior Authorization Specialist
1 week ago
Illinois Bone and Joint Institute LLC Libertyville, United States: · **Summary** · Responsible for obtaining prior authorizations for advanced imaging studies including MRI/CT/Bone Scan/Ultrasound/DEXA, Visco supplementation and other specialty drugs/injectables, EMGs, Spine Injections, Outpatient/Inpatient surgical procedures, DME/Orthotics, ...
-
Medical Insurance and Authorization Specialist
2 weeks ago
USA Clinics Group Chicago, United StatesUSA Clinics Group is looking for an organized and motivated individual to join the team as our newest **Medical Insurance Verification/ Authorization Specialist **This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, ...
-
Heart & Vascular Partners Chicago, United StatesHeart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking an Insurance Verification Specialist As the Insurance Verification Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, prof ...
-
Medical Prior Authorization Specialist
2 weeks ago
AFC URGENT CARE Hinsdale, United StatesCompany Overview: · Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented ful ...
-
Prior Authorization Specialist
1 week ago
Chicago Headache Center & Research Institute Chicago, United StatesJob Description · Job DescriptionThis position involves working in a collegial environment with other motivated individuals. This person will work closely with medical providers in securing prior authorization for medications, imaging, and other treatments. · Qualified candidate ...
-
Medical Prior Authorization Specialist
5 days ago
AFC Urgent Care Hinsdale, United StatesJob Description · Job DescriptionCompany Overview: · Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice ...
-
Medical Insurance and Authorization Specialist
2 weeks ago
USA Vein Clinics Chicago, United StatesLocation · Chicago · Description · USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Medical Insurance Verification/ Authorization Specialist This position performs the function of obtaining referrals, and/or authorizations pri ...
-
Medical Insurance and Authorization Specialist
2 weeks ago
USA Vein Clinics Northbrook, United StatesLocation · Northbrook · Description · USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Medical Insurance Verification/ Authorization Specialist This position performs the function of obtaining referrals, and/or authorizations ...
-
Primus Ortho Tinley Park, United StatesJob Description · Job DescriptionSalary: 17/hr Negotiable · Multidisciplinary orthopedic and physical therapy private practice with 3 doctors is seeking a full-time, Worker's Compensation Authorization Specialist with excellent customer service skills, and a strong ability to mul ...
-
Resident Physician in Gynecology and Obstetrics
2 weeks ago
Spectrum Innovations Wheaton, United StatesLocation: · North Rhine-Westphalia · Employer: · Our client, a teaching hospital in North Rhine-Westphalia, is currently seeking a Junior Doctor in Gynecology and Obstetrics (m/f/d) to join their team. · The hospital is a primary care provider with a capacity of Now apply beds. · ...
-
Assistant Doctor in Visceral Surgery
2 weeks ago
BlueWave Solutions Wheaton, United StatesOur client, a primary care provider, is currently seeking a · Resident Physician in Visceral Surgery (m/f/d) · in the greater Marburg area. · The offer: · Wide range of services including laparoscopic and minimally invasive procedures, with a focus on colorectal surgery · Perf ...
-
Assistant Doctor in Visceral Surgery
2 weeks ago
Infinity Systems Glen Ellyn, United StatesOur client, an academic teaching hospital, is currently seeking a · Resident Physician in Visceral Surgery (m/f/d) · in the greater Aschersleben area. · The offer: · Wide range of services in the field of general and visceral surgery, as well as a certified intestinal center · T ...
-
Texas Health Huguley FWS Hinsdale, United StatesJob Description - Pre-Access Infusion Benefits and Authorization Specialist-ONCOLOGY Job DescriptionPre-Access Infusion Benefits and Authorization Specialist-ONCOLOGY ( Job Number: DescriptionAll the benefits and perks you need for you and your family:Benefits from Day OnePaid Da ...
-
Texas Health Huguley FWS Hinsdale, United StatesJob Description - Pre-Access Infusion Benefits and Authorization Specialist-ONCOLOGY · Job Description · Pre-Access Infusion Benefits and Authorization Specialist-ONCOLOGY · ( · Job Number: · ) · Description · All the benefits and perks you need for you and your family: · Ben ...
-
AdventHealth Hinsdale, United States**All the benefits and perks you need for you and your family:** · + Benefits from Day One · + Paid Days Off from Day One · + Paid Parental Leave · + Student Loan Repayment Program · + Career Development · + Whole Person Wellbeing Resources · + Debt-free Education(Certific ...
-
Discover Vanderbilt University Medical Center Hinsdale, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days Off from Day One · Paid Parental Leave · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Debt-free Education (Certifications and Degrees ...
-
Discover Vanderbilt University Medical Center Hinsdale, United StatesAll the benefits and perks you need for you and your family:Benefits from Day OnePaid Days Off from Day OnePaid Parental LeaveStudent Loan Repayment ProgramCareer DevelopmentWhole Person Wellbeing ResourcesDebt-free Education (Certifications and Degrees without out-of-pocket tuit ...
-
Chicago Public Schools Chicago, United StatesChicago Public Schools (CPS) is one of the largest school districts in the United States, serving over 330,000 students in 600+ schools and employing nearly 36,000 people, most of them teachers. CPS has set ambitious goals to ensure that every student, in every school and every n ...
-
Financial Clearance Specialist
2 weeks ago
Northwestern Medicine Warrenville, United StatesThe **Financial Clearance Specialist** reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standar ...
-
Patient Access Specialist- Customer Service Rmg
2 weeks ago
Northwestern Medicine Warrenville, United StatesThe **Patient Access Specialist** reflects the mission, vision, and values of NMHC, adheres to the organizations Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. ...
Remote Prior Authorization Specialist - Wheaton, United States - The LaSalle Group
Description
Our client is looking for several Remote Prior Authorization Specialists because of its amazing growth The ideal prior experience would be working with physicians and clinical staff in a medical or clinical setting and a person who thrives in a fast paced, production-oriented work environment is also preferred
The Prior Authorization Specialist will be responsible for processing insurance verification and referral/pre-certification/pre-authorization requests. The ideal candidate has 2-4 years of prior authorization experience within the last 7 years.
Prior Authorization Specialist Responsibilities:
Thank you,
Laura Peterson
Associate Unit Manager, Healthcare Revenue Cycle
LaSalle Network
LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Marketing, Technology, Supply chain, Healthcare Revenue Cycle, Call Center, Human Resources and Executive Search. LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries. LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends and hiring challenges, and more to national news outlets.
